A patient who has been newly diagnosed with asthma is referred to an asthma clinic. The patient reports daily symptoms requiring short-acting beta2-agonist treatments for relief
The patient has used oral glucocorticoids three times in the past 3 months and reports awakening at night with symptoms about once a week. The patient's forced expiratory volume in 1 second (FEV1) is 75% of predicted values. The nurse will expect this patient to be started on which regimen? a. Daily low-dose inhaled glucocortico-id/LABA with a SABA as needed
b. Daily low-dose inhaled glucocorticoid and a SABA as needed
c. Daily medium-dose inhaled glucocortico-id/LABA combination
d. No daily medications; just a SABA as needed
A
This patient has moderate persistent asthma, which requires step 3 management for initial treat-ment. Step 3 includes daily inhalation of a low-dose glucocorticoid/LABA combination supple-mented with a SABA as needed. A daily low-dose glucocorticoid with an as-needed SABA is used for step 2 management. A daily medium-dose glucocorticoid/LABA is used for step 4 management. Patients requiring step 1 management do not need daily medications.
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