An 8 year old boy is newly diagnosed with asthma and is initially treated with nedocromil sodium


Question Number 0967
Question:
An 8 year old boy is newly diagnosed with asthma and is initially treated with nedocromil sodium. Eight weeks after starting treatment he is seen at the outpatient clinic. His mother complains that her son has remained symptomatic with a persistent breathing difficulties and wheezing with physical activity and occasionally complains of tightness in the chest. He has lost four days of school in this period for this reason. Appropriate treatment at this stage should include
a) No medical treatment required
b) Nebulised ipratropium bromide
c) Single dose 1 ml 0.5% salbutamol
d) inhaled low dose corticosteroids
e) refer to an ENT specialist

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