Asthma Medications for a Patient-Runner

The purpose of this post is to discuss the medications appropriate to address symptoms of asthma in John, a 21-year-old male who is interested in running. The clinical problem is that John suffers from asthma in the form of a dry non-productive cough that is observed for about twelve weeks and worsens at night. Clinical goals include reducing a night cough and preventing asthma attacks when running. In this case, non-pharmacological interventions include avoiding secondhand smoke, viral infections, and allergens that could provoke asthma when John was a child. Exercising, including running, should be controlled and modified according to John’s needs.

Clinical practice guidelines selected for managing asthma symptoms were developed by specialists of the National Asthma Education and Prevention Program’s expert panel supported by the U.S. Department of Health and Human Services and the National Heart, Lung, and Blood Institute, and they were revised in 2012. The conclusions provided in the guidelines are based on the results of a systematic review of clinical trials (National Heart, Lung, and Blood Institute, 2012). The evidence is strong, and these clinical guidelines can be applied to treating children and adults.

While considering the patient’s age, comorbidities, the interest in running, and the frequency and severity of asthma symptoms, it is possible to propose using low-dose inhaled corticosteroids (ICSs) on a regular basis (Bårnes & Ulrik, 2015). The prolonged character of symptoms indicates that the patient requires long-term control medications, and fluticasone propionate is an effective ICS for this case (Lee et al., 2015). Flovent HFA (fluticasone propionate) is selected as a medication for John because it guarantees controlling and preventing asthma symptoms (Teodorescu et al., 2014). As a result, the frequency of symptoms will decrease significantly, and the quality of John’s life will increase. For this case, the use of short-acting beta2-agonists (SABAs) is inappropriate because the patient requires preventing and controlling his day and night cough (Woo & Robinson, 2016). The appropriate dosage is 88 mcg (two puffs) twice a day. It is a starting low and safe dose to prevent any side effects (Daley‐Yates, 2015). Flovent HFA (44 mcg) costs about $120, and it can be bought at Walmart and Target.

During the first two weeks, it is possible not to observe significant positive changes in the patient’s state. If there are no improvements after two weeks, it is important to increase the dose to 110 mcg per actuation. Side effects of Flovent HFA are minimal, and they include throat irritation, dry mouth, and headache. These symptoms are not prolonged. Still, if the patient reports skin rash, oropharyngeal candidiasis, increases in the heartbeat, white patches in his mouth, and wheezing, it is important to change the medication (Daley‐Yates, 2015; Teodorescu et al., 2014). Fluticasone propionate cannot be used with immunosuppressants and steroids because of drug-drug interactions.

Before taking Flovent HFA, the patient should be educated regarding the following points:

  1. After orally inhaling the substance, it is important to rinse the mouth to avoid the development of oropharyngeal candidiasis;
  2. The symptom relief can be unobserved during 1-2 weeks from starting the medication;
  3. The patient can continue running, but he should use a SABA (a rescue inhaler) to prevent asthma attacks and receive a quick relief (Bårnes & Ulrik, 2015).


Bårnes, C. B., & Ulrik, C. S. (2015). Asthma and adherence to inhaled corticosteroids: Current status and future perspectives. Respiratory Care, 60(3), 455-468.

Daley‐Yates, P. T. (2015). Inhaled corticosteroids: Potency, dose equivalence and therapeutic index. British Journal of Clinical Pharmacology, 80(3), 372-380.

Lee, L. A., Yang, S., Kerwin, E., Trivedi, R., Edwards, L. D., & Pascoe, S. (2015). The effect of fluticasone furoate/umeclidinium in adult patients with asthma: A randomized, dose-ranging study. Respiratory Medicine, 109(1), 54-62.

National Heart, Lung, and Blood Institute. (2012). . Web.

Teodorescu, M., Xie, A., Sorkness, C. A., Robbins, J., Reeder, S., Gong, Y.,… Hind, J. (2014). Effects of inhaled fluticasone on upper airway during sleep and wakefulness in asthma: A pilot study. Journal of Clinical Sleep Medicine, 10(2), 183-189.

Woo, T. M., & Robinson, M. V. (2016). Pharmacotherapeutics for advanced practice nurse prescribers (4th ed.). Philadelphia, PA: F. A. Davis Company.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Health Care
awesome work
Customer 452777, October 14th, 2021
Very fast response and did a excellent job.
Customer 453201, May 31st, 2022
Looks great and appreciate the help.
Customer 452675, April 26th, 2021
Human Resources Management (HRM)
Always great! My son has been in critical health these last few semesters. Many times I have thought he wasn't going to make it and thought about quitting or postponing school until he was healthier but it always happens to be in the middle of the semester. This service has been a lifesaver for my mindset in helping keep my grades up and keep my son alive at the same time. I don't know if I could have made it through this period without it.
Customer 453077, June 6th, 2022
IT, Web
Awesome paper in such a short amount of time. Was in a jam with another service who didn't deliver, but Theresa did the job correctly. I will use her again to do my essays for sure!
Customer 452967, November 27th, 2021
Customer 453057, May 23rd, 2022
Health Care
The writer did not follow my choice of topic (Food/Water Insecurity, Hunger, & Poverty), the paper was instead written about Climate Change in Africa. However, the paper was still great and informative. Thank you!
Customer 452777, January 28th, 2022
English 101
IThank you
Customer 452631, April 6th, 2021
Classic English Literature
It was my first time using such a service. Essay was good and nicely formatted.
Customer 452441, February 16th, 2022
Received before the deadline. Great job!
Customer 453027, January 15th, 2022
Business Studies
Thank you so much! I had to take my dog to the ER and had no time for the assignment. I really appreciate your help! I can't thank you enough! I really appreciate the work and integrity put into it. Thank you for taking it seriously and not bullshiting the paper.
Customer 452815, July 26th, 2021
Criminal Justice
The paper was not accused of plagiarism and was written very well. I will let you know the grade once it is graded. Thank you
Customer 452671, April 26th, 2021
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp