Paul, a 48-year-old man with asthma, arranges to see you for a repeat prescription. He has never smoked, and has had asthma since he was 12 years old. He is currently taking inhaled Advair 250 micrograms MDI, 2 puffs twice a day and inhaled Pro-Air MDI, as needed. When you talk to him it becomes apparent that his asthma is not well controlled. He is using his Pro-Air rescue inhaler almost daily to relieve wheeze and chest tightness and wakes at night approximately monthly. Paul does not use a peak flow meter. On examination you hear widespread expiratory wheeze. You are confident that he is compliant and takes his inhaled steroids as prescribed.
How would you further measure John's asthma severity? (check all that apply)
Peak expiratory flow rate
Spirometry
Chest CT
CXR
How would you grade the severity of John's asthma? not sure if this is moderate r severe provide explanation please
Very mild
Mild
Moderate
Severe
Based on the answer to the Question 2 what are the daily recommended medications required to remain control:
What education and counseling would you offer Paul at this visit regarding his diagnosis and changes needed to his med regimen?