Based on the survey, your patient’s asthma condition is:

MODERATE PERSISTENT

Care Recommendations:

Start medium-dose inhaled corticosteroid (ICS) (e.g., Flovent 110)
OR
Add LABA or LTRA (if already on ICS)
OR
Increase ICS dose (if already on ICS)

Medium-dose ICS Options (4p qD or 2p BID):
Pulmicort DPI 180
OR
Asmanex HFA 200
OR
DPI 220

ICS-LABA Options (2p BID):
Advair 115/21
OR
Dulera 100/5
OR
Symbicort 80/4.5

AND

2 puffs twice a day with spacer

LTRA = Montelukast
(4mg for <6 years old; 5mg for 6 – 14 years old; 10mg for 15+ years old)
DPI = dry-powdered inhaler

AND

Albuterol 4 times a day until symptoms resolved

Follow-up asthma visit in 2 – 6 weeks

NOTE

Weaning of daily controller medications is not suggested during high risk periods of respiratory virus transmission (e.g., during the winter season)