A 30-year-old woman presents to an outpatient clinic with wo…

A 30-year-old woman presents to an outpatient clinic with worsening dyspnea over the last two weeks. She has been having symptoms three days out of the week and being awakened with symptoms three times at night per month. After further questioning the NP discovers her symptoms worsened with the change of the weather (cold).  Her past medical history is significant for asthma diagnosed in childhood, seasonal allergies, and gastroesophageal reflux disease (GERD). Her asthma symptoms have been controlled with inhaled fluticasone propionate 44 mcg/puff, 2 puffs twice per day (ICS).   What step classification is associated her presentation?

A 16-year-old with newly diagnosed asthma is seen by the NP….

A 16-year-old with newly diagnosed asthma is seen by the NP. The patient reports awakening during the night with shortness of breath approximately twice a week. According to the step wise approach, which medication would be the best to prescribe along with albuterol (Ventolin)?