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: