0
Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 39-Year-Old Woman With Intractable Asthma*

Cathy Benninger, CNP; John G. Mastronarde, MD; Matthew C. Exline, MD
Author and Funding Information

*From the Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Asthma Patient Care Program, The Ohio State University, Columbus, OH.

Correspondence to: Cathy Benninger, RN, MS, CNP, AE-C, 201 Davis Heart and Lung Research I, 473 West 12th Ave, Columbus, OH 43210; e-mail: cathy.benninger@osumc.edu



Chest. 2007;132(4):1397-1400. doi:10.1378/chest.06-2799
Text Size: A A A
Published online

Extract

A 39-year-old woman was referred for refractory asthma. The patient presented with daily symptoms of cough, chest tightness, wheezing, and dyspnea. Breathing symptoms typically awakened her three times per night. Although she continued to work full time, her daytime activities were restricted. Despite a number of controller medications including salmeterol, fluticasone, montelukast, zileuton, omalizumab, cetirizine, methotrexate, and 60 mg of prednisone, 8 to 24 puffs of an albuterol rescue inhaler were needed per day for acute relief. She gave a history of being diligent with her medication regimen and known allergen avoidance and was a life-long nonsmoker. Since asthma was diagnosed 15 years previously, she experienced a progressive worsening of symptoms with frequent exacerbations, one of which required endotracheal intubation in 1998.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Suggested Readings

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
Guidelines
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543