09-01-2006, 11:51 AM
A 29-year-old woman presents with an exacerbation of her asthma. She is 11 weeks pregnant. She has mild intermittent asthma and usually takes a b-agonist as needed. She has one 4-year-old child who is in day care and has had a recent upper respiratory tract infection. She has a dry cough, clear nasal discharge, myalgias, and fatigue.
On physical examination, she is talking in full sentences and has normal tympanic membranes, mildly erythematous oropharynx without exudates, no adenopathy; she has positive wheezing bilaterally. The peak flow is 300 mL; her usual result is 390 mL. Pulse oximetry is 93% on room air.
Which of the following is indicated in the management of this patient?
(A) Amoxicillin
(B) Theophylline
© Prednisone
(D) Montelukast
(E) Flunisolide
On physical examination, she is talking in full sentences and has normal tympanic membranes, mildly erythematous oropharynx without exudates, no adenopathy; she has positive wheezing bilaterally. The peak flow is 300 mL; her usual result is 390 mL. Pulse oximetry is 93% on room air.
Which of the following is indicated in the management of this patient?
(A) Amoxicillin
(B) Theophylline
© Prednisone
(D) Montelukast
(E) Flunisolide
