Christy has exercise-induced and mild persistent asthma. She…

Christy has exercise-induced and mild persistent asthma. She has been prescribed one puff daily of beclomethasone (QVAR) metered-dose inhaler (MDI), an inhaled corticosteroid (ICS), and two puffs of her rescue inhaler, albuterol (ProAir) MDI, 15 minutes before exercise and as needed for wheezing. Teaching regarding her inhalers includes:

You are caring for a patient who has COPD. The patient uses…

You are caring for a patient who has COPD. The patient uses a long-acting beta-agonist (LABA) twice daily. The patient reports having increased exertional dyspnea, a frequent cough, and poor sleep. The patient also uses a short-acting beta-agonist (SABA) five or six times each day. Pulse oximetry reveals an oxygen saturation of 92%. The patient’s FEV1/forced vital capacity is 65, and FEV1 is 55% of predicted. Based on your understanding of appropriate treatment options, you anticipate the provider to prescribe a(n):