Cindy is a 23-year-old female, with a history of asthma that was diagnosed when she was age 8. Over the past month, she has noticed that her asthma is getting worse. She notes that she can’t play soccer anymore without having to stop and take her rescue inhaler, and that she has had 3 asthma attacks that have awakened her. Cindy uses albuterol by metered dose inhaler for rescue medication, and mometasone inhaler (Asmanex Twisthaler 220 mcg) once daily as a controller. She states that she has been using her albuterol inhaler daily, sometimes as much as 6 times a day.
Question 1: What is the most likely reason for Cindy’s worsening asthma symptoms?
1. She doesn’t have asthma, but something else
2. She’s using her inhaler incorrectly
3. New environmental problem
4. She’s not compliant with her controller medications
5. Cindy’s asthma has worsened, and she now needs additional controller medication
6. Cindy has developed worsening allergies and reflux, which in turn have contributed to her worsening asthma
Please click below for answer and discussion.