Question

Rick is a 44 y.o. male who comes to the clinic with a complaint of allergies and asthma. He has had mild intermittent asthma for years that is triggered by allergies and respiratory infections. The past few weeks his seasonal allergies have been bothering him, and he has been using his albuterol a couple of times a day for a wheezy cough. He has been taking Benadryl for his allergies but doesn’t like it because it makes him sleepy and he cannot take it and work. He is able to work, but he said he cannot finish his routine 5-mile run each day due to coughing.

He is afebrile, his oxygen saturation is 95% on room air, his in-office spirometry indicates his FEV1 is 75% of predicted.

His only medications are the albuterol inhaler and Benadryl.

What would be the appropriate prescription for him today?

What type of ongoing monitoring will he need?

What education will he need?

Answer 1

The appropriate prescription for him is -

1 - Use leukotriene modifiers which will give relief to his cough problem.

2 - avoid too much exercise.

3 - Start doing yoga breathing.

Types of ongoing monitoring will he need are-

1 - How many times, he is showing asthma symptoms during the day.

2 - How many times, he is showing asthma symptoms during the night.

3 - Level of activity.

The education that he will need are -

1 - taking the medicines on time.

2 - Learning how to control his asthma.

3 - Make sure to carry an inhaler with him.