29th February 2024

A 15-year old boy comes into GP practice with his mother, complaining of recurrent shortness of breath and wheeze.

A 15-year old boy comes into GP practice with his mother, complaining of recurrent shortness of breath and wheeze. He explains that he has been having to use his salbutamol inhaler up more than 3 times a week. He appears well at rest with a RR of 19, BP 124/87, oxygen saturations of 97% and a temperature of 36.9. He has no relevant past medical history and is currently only taking salbutamol for his asthma.

Select the single, most appropriate management option which can be trialled to help with this patient’s symptoms.