Beatrice is a 17 year old female diagnosed with mild persistent asthma since age 7. During her visit today, she reports having to use her albuterol MDI 3 to 4 days per week over the past 2 months. Over the past week she has been using albuterol at least once per day. She reports being awakened by a cough three nights during the last month. She is becoming more short of breath with exercise. She also has a fluticasone MDI, which she uses most days of the week. Her current medications include: Flovent HFA 44 mcg, two puffs BID, Proventil HFA TWO PUFFS Q 4-6 H PRN shortness of breath, Yaz one PO DAILY, Propranolol 80 mg PO BID. What treatment plan would implement you implement for this patient? What medication changes would you make? How would you monitor the effectiveness of this plan?
