You run an asthma review session at the local GP surgery. Mr Thomson, a 32 year old asthmatic is your next patient. He is known to have a best peak flow of 640 L/min. He has recorded his morning and night-time peak flows these have averaged 580 L/min and 540L/min respectively Patient details: Name: Andrew Thomson Age : 32 years His current medications are: salbutamol MDI 2 puffs as required beclometasone 100 MDI 2 puffs twice a day (recently changed to non CFC (Clenil Modulite) also buys antihistamine tablets from you during the summer On examination, his peak flow is 520L/min. He tells you that over the last few weeks he has been wakening up once or twice a week coughing, and he is using his salbutamol inhaler a couple of times a day. His blood pressure is 120/80 mmHg Using the BTS guidelines what is Thomson’s current asthma stage? What do you think is the current control of Mr Thomson’s asthma What would be your immediate management plan for this patient?
You run an asthma review session at the local GP surgery. Mr Thomson, a 32 year old asthmatic is
your next patient. He is known to have a best peak flow of 640 L/min. He has recorded his morning
and night-time peak flows these have averaged 580 L/min and 540L/min respectively
Patient details: Name: Andrew Thomson
Age : 32 years
His current medications are: salbutamol MDI 2 puffs as required
beclometasone 100 MDI 2 puffs twice a day (recently changed to non CFC (Clenil Modulite)
also buys antihistamine tablets from you during the summer
On examination, his peak flow is 520L/min.
He tells you that over the last few weeks he has been wakening up once or twice a week coughing,
and he is using his salbutamol inhaler a couple of times a day.
His blood pressure is 120/80 mmHg
Using the BTS guidelines what is Thomson’s current asthma stage?
What do you think is the current control of Mr Thomson’s asthma
What would be your immediate management plan for this patient?
Step by step
Solved in 3 steps
