Reducing the Usage of Oral Corticosteroids in the Management of Asthma: A Part of the BREATHE Initiative
Podcast 1: Pulmonologist
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Which are criteria that should prompt an internist to refer their patient with asthma to a specialist?
Asthma symptoms resulted in 1 hospitalization in the last 12 months
Patient requires oral corticosteroids to control their asthma symptoms
Patient uses their rescue inhaler 1-2 times per week
A and B
All of the above
Which of the following biologic agents is approved for patients with asthma who are dependent on oral corticosteroids? (To reduce or eliminate the need for oral corticosteroids)
Omalizumab
Mepolizumab
Dupilumab
Benralizumab
B, C, and D
All of the above
Sandy is a 48-year-old woman (5’ 5”, 165 lbs). Her asthma was diagnosed by her internist 2 years ago. Her last exacerbation was 2 months ago. She has been referred to you with the following past medical history:
Frequent productive cough
Exacerbations (wheezing, coughing, SOB) every 3-5 months with the last episode requiring oral corticosteroids
Her past medical history is significant for:
Chronic sinusitis without nasal polyps
Prior asthma medications were:
Fluticasone propionate/ salmeterol 500 μg/50 μg twice daily
Current asthma medications are (started 6 months ago):
High-dose budesonide/formoterol fumarate dihydrate inhaler
Tiotropium inhaler
Prednisone 15 mg PO daily (started 2 months ago)
Which factors in Sandy’s asthma history would suggest referral to a specialist?
Number of exacerbations
Patient’s age
Use of oral corticosteroids
A and C
All of the above
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