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A 10-year-old child with asthma has been on Fluticasone metered-dose inhaler for six months with no improvement seen in the pulmonary function tests. Which of the following strategies would help the child have better control over the symptoms?
Correct Answer: D
* Asthma Management: * When a patient does not respond to a single controller medication like Fluticasone (a corticosteroid), a step-up in therapy is often required. * Treatment Strategies: * Chest Physiotherapy and Increased Oral Fluid:Helpful but not primary interventions for improving pulmonary function in asthma. * Intravenous Hydrocortisone:Typically for acute severe exacerbations, not chronic management. * Adding Salmeterol (Long-acting Beta Agonist):Combined with an inhaled corticosteroid (ICS), it can improve asthma control by reducing symptoms and preventing exacerbations. References: * Global Initiative for Asthma (GINA) guidelines * National Heart, Lung, and Blood Institute (NHLBI)
