Rick is a 44-year-old male who comes to the clinic with a complaint of allergies and asthma. He has had mild intermittent asthma for years that is triggered by allergies and respiratory infections. The past few weeks his seasonal allergies have been bothering him, and he has been using his albuterol a couple of times a day for a wheezy cough. He has been taking Benadryl for his allergies but does not like it because it makes him sleepy and he cannot take it and work. He is able to work, but he said he cannot finish his routine 5 mile run each day due to coughing.
Rick is afebrile, his oxygen saturation is 95% on room air, and his in-office spirometry indicates his forced expiratory volume (FEV1) is 75% of predicted.
His only medications are the albuterol inhaler and Benadryl.
1. What is the appropriate prescription for Rick today?
2. What type of ongoing monitoring does he need?
3. What education does he need?
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