Question

Marissa is a 7 year old female coming to the clinic withincreased wheezing, coughing, and difficulty breathing. She wasdiagnosed with asthma 2 years ago. She uses an albuterol inhaler tomanage her symptoms and has been using it regularly 3 – 5 times aday for the past 3 months.

Medications include Albuterol HFA 2 puffs Q4H prn. Children’smultivitamin QD. Children’s chewable Vitamin C tablet QD Describeyour differential diagnosis list and identify your most likelyprimary diagnosis. Thereafter describe your next stepsdiagnostically and in the way of medication changes in detail withinclusion of rationale and mechanism of action..