During a first-time office visit, you as the NP are seeing a…

During a first-time office visit, you as the NP are seeing an adult female with a history of asthma. She had been using albuterol (Proventil) metered dose inhaler (MDI) one inhalation twice monthly over the past several years. However, more recently, she has been using her MDI inhaler 5 to 7 times per week. Based on the Global Initiative for Asthma (GINA) guidelines, you diagnose her with partly controlled asthma and initiate her on “Step 2” therapy which includes:

A 32 year old female patient arrives at the family practice…

A 32 year old female patient arrives at the family practice clinic complaining of difficulty breathing, a cough, and chest pain. History indicates that she was discharged from the hospital 2 days ago, after a cesarean section and has a 15-pack per year smoking history. What would be the most appropriate action?