RT Book, Section A1 Galanter, Joshua M. A1 Boushey, Homer A. A2 Katzung, Bertram G. SR Print(0) ID 1148435669 T1 Drugs Used in Asthma T2 Basic & Clinical Pharmacology, 14e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259641152 LK accessmedicine.mhmedical.com/content.aspx?aid=1148435669 RD 2024/03/28 AB CASE STUDYA 14-year-old girl with a history of asthma requiring daily inhaled corticosteroid therapy and allergies to house dust mites, cats, grasses, and ragweed presents to the emergency department in mid-September, reporting a recent “cold” complicated by worsening shortness of breath and audible inspiratory and expiratory wheezing. She appears frightened and refuses to lie down but is not cyanotic. Her pulse is 120 bpm, and respirations are 32/min. Her mother states that she has used her albuterol inhaler several times a day for the past 3 days and twice during the previous night. She took an additional two puffs on her way to the emergency department, but her mother states that “the inhaler didn’t seem to be helping so I told her not to take any more.” What emergency measures are indicated? How should her long-term management be altered?