See
Watch clinical reasoning with the Mike case
This is an educational demonstration only. Asthma diagnosis and treatment require evaluation by a licensed clinician.
Patient: Mike
12-year-old male, accompanied by Mother (Susan)
History & Presentation:
- •Diagnosed with asthma at age 4
- •Has been off controller medications for 6 months
- •Using albuterol (SABA) once daily for the past 2 weeks
- •Night cough on 2 nights in the past 2 weeks
- •Reports "It's OK" when asked about breathing and sleeping
- •No current respiratory distress
Clinical Reasoning Walkthrough
|
Clinical Reasoning: Mike has been off all controller medications for 6 months. He is only using albuterol (SABA) as needed.
Answer: Step 1 (SABA PRN only)
Since Mike is not on any controller therapy, his current treatment corresponds to Step 1 in the NHLBI stepwise approach.