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

SEVERE PERSISTENT

Care Recommendations:

Start high-dose ICS with LABA and LTRA

High-dose ICS+LABA Options (2p BID):
Advair 230/21
OR
Dulera 200/5
OR
Symbicort 160/4.5

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

Consider 5 – 10-day course of oral corticosteroids

AND

Albuterol 4 times a day until symptoms resolved

AND

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)