This case presents a patient with poorly controlled asthma that remains refractory to treatment despite use of standard-of-care therapeutic options.
For patients such as this, one needs to embark on an extensive work-up to confirm the diagnosis, assess for comorbidities, and finally, to consider different therapeutic options. T is a 40-year-old recreational athlete with a medical history significant for asthma, for which he has been using an albuterol rescue inhaler approximately 3 times per week for the past year.
There is no record of her having been given an asthma action plan.
The lady in this case study is struggling to maintain control of her asthma within the context of her busy professional and domestic life.
She has a young family and a busy lifestyle so does not often manage to find time to attend the asthma clinic.
A few weeks previously, an asthma attack had interfered with some important work-related travel, and she has attended the clinic on this occasion to ask about how this can be managed better in the future.
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During this time, he has also been waking up with asthma symptoms approximately twice a month, and has had three unscheduled asthma visits for mild flares.
Based on the National Asthma Education and Prevention Program guidelines, Mr. As a result of these symptoms, spirometry was performed revealing a forced expiratory volume in the first second (FEV1) of 78% predicted. T then was prescribed treatment with a low-dose corticosteroid, fluticasone 44 mcg at two puffs twice per day.