A 48 year old female diagnosed with intrinsic asthma. She pr…
A 48 year old female diagnosed with intrinsic asthma. She presents to the asthma clinic for an initial asthma evaluation. Your assessment and history reveals that she has significant daily symptoms, awakens frequently at night with coughing and chest tightness. She is presently wheezing and use of accessory muscles. She uses a rescue inhaler at least twice daily and has begun a low-dose corticosteroid inhaler. Her PEFR variability is 40%. Which of the following would you recommend for treatment of her asthma?