You examine Jane, a 24-year-old woman who has an acute asthm…
You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no fever). She has a history of moderate persistent asthma that is usually in good control and has an acceptable peak expiratory flow (PEF). She is using inhaled budesonide (Pulmicort) and albuterol as directed and continues to have difficulty with coughing and wheezing. At home, her PEF is 55% of her personal best. In the office, her forced expiratory volume at 1 second (FEV) is 65% of predicted. Following her personal action plan for change in PEF, what should her medication regimen be adjusted to include?