A 14-year-old boy with persistent allergic asthma is started on daily inhaled budesonide plus albuterol rescue inhaler. One month later, he presents with white plaques on the tongue that scrape off easily, leaving red mucosa beneath. Vital signs: BP 118/76, HR 88, RR 16, temp 37.2°C, SpO2 98% on room air. Oral candida culture is positive. He denies dysphagia. Which counseling point would most likely have prevented this complication?
- A)Use the inhaler with ibuprofen to reduce inflammation
- B)Add dextromethorphan before bedtime
- C)Rinse the mouth after each inhaled doseGABARITO
- D)Take the medication only before exercise
- E)Take the medication with vitamin B6
Explicação
Inhaled corticosteroids can cause local immunosuppression and oral candidiasis. Rinsing the mouth after each use and using proper inhaler technique reduce oropharyngeal deposition and lower this risk. Budesonide is an effective controller because it decreases ... Ver explicação completa e trilha adaptativa →