QuestionSBA
QuestionChoice
This is step 4 of the BTS guidelines for managing chronic asthma and would not be appropriate yet. An inhaled corticosteroid would be the next appropriate step.
10000203
c
Add oral leukotriene receptor antagonist
QuestionChoice
This is step 3 of the BTS guidelines for managing chronic asthma. It is more appropriate in the first instance to trial an inhaled corticosteroid.
10000202
b
Add long-acting beta-2 agonist
QuestionChoice
This is step 2 of the BTS guidelines for the pharmacological management of chronic asthma. The first step, a short-acting beta-2 agonist e.g. salbutamol, is not working for this patient and so the next best step is to add an inhaled corticosteroid.
10000201
a
Add low-dose inhaled corticosteroid
QuestionChoice
This is useful in managing acute and severe asthma attacks. This patient is not experiencing an acute asthma attack and requires management of her chronic symptoms. An inhaled corticosteroid is more appropriate.
10000204
d
Give IV magnesium sulphate
QuestionChoice
This is the first step in managing an acute asthma attack. The patient has come to her GP to discuss management options and does not show symptoms or signs of an acute asthma attack.
10000205
e
Ensure a patent airway
Concept
Chapter
2693
3725
Asthma
Topic
132
Respiratory
12587
A 22-year-old female with a known history of asthma and eczema presents to her GP as she feels that her 'blue' inhaler is not working as it used to.

Which of the following would be the next best management step for this patient's asthma?
a