A 24-year-old patient asks for a second salbutamol inhaler this month. He says he uses it most days and wakes at night with wheeze twice a week. What

Question

A 24-year-old patient asks for a second salbutamol inhaler this month. He says he uses it most days and wakes at night with wheeze twice a week. What is the most appropriate action?

Accepted Answer

Refer for asthma review because preventer treatment is likely inadequate

Answer

Advise salbutamol before every meal to prevent symptoms

Answer

Recommend stopping the inhaled corticosteroid if prescribed

Answer

Supply repeated salbutamol without further discussion

Answer

Suggest using salbutamol through the nose at night

Asthma SABA overuse — GPhC CRA MCQ

A 24-year-old patient asks for a second salbutamol inhaler this month. He says he uses it most days and wakes at night with wheeze twice a week. What is the most appropriate action?