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this is another students post. provide nice feedback and you comment in a statement: However, since she has needed to take albuterol three times weekly, Global Initiative for Asthma (GINA) guidelines recommend using a combination inhaler of low-dose ICS and formoterol as both maintenance and reliever therapy (Lange-Vaidya & Hartert, 2024). This is called SMART therapy (Single Maintenance and Reliever Therapy), which has been shown to reduce exacerbations and improve asthma control (Sawicki & Haver, 2025). The current medications of beclomethasone and albuterol should be discontinued unless needed as a backup. A new prescription of Budesonide-formoterol (Symbicort) 80/4.5 mcg, 2 inhalations once daily for maintenance and 1 to 2 inhalations as needed; some experts use 2 inhalations unless infrequent rescue inhaler use; maximum dose: 12 inhalations per day additional inhalation as needed for symptoms should be provided (Lange-Vaidya & Hartert, 2024). Educating the patient on how to use the Symbicort inhaler correctly is of utmost importance. Especially that it is not only a daily medication but also a rescue inhaler. The patient should be educated on the change in medications conveying that this should help reduce flare-ups and nighttime symptoms. The patient should also be educated on the common side effects, like throat irritation, and recommend rinsing her mouth after each use (Arcangelo & Peterson, 2021). A follow-up should be in 1-3 months to reassess response to medicatio
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