Question

A 21 year old patient comes to the clinic with worsening asthma. He states that he is awakening in the night more often than before and needs to use his albuterol most days per week. His FEV1 is 60% - 80%. How should the nurse practitioner proceed?

a. SABA + LABA + low dose ICS
b. SABA + LABA + LAMA
C. SABA + low dose ICS
d. SABA + LABA

Answer 1

The nurse practitioner should proceed with option A: SABA + LABA + low dose ICS. Combining these medications can provide better control of symptoms and improve lung function.

Step-by-step explanation:

The nurse practitioner should proceed with option A: SABA (Short-acting beta agonist) + LABA (Long-acting beta agonist) + low dose ICS (Inhaled corticosteroid).

Based on the patient's symptoms of worsening asthma, nighttime awakenings, and the FEV1 measurement of 60% - 80%, it indicates that the patient's asthma is not well controlled. In this case, combining a short-acting bronchodilator (SABA) like albuterol with a long-acting bronchodilator (LABA) like salmeterol can provide better control of symptoms. Additionally, adding a low dose of inhaled corticosteroid (ICS) like fluticasone can help reduce inflammation in the airways and prevent further exacerbations.

By using this combination therapy, the patient can experience better symptom control, decreased frequency of nighttime awakenings, and improved lung function.