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In 1908 the Vatican declared that the United States was no longer a

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Du träffar en 22-årig kvinna med astma på vårdcentralen. Hon har tidigare haft lindriga symtom och klarat sig med sin inhalator salbutamol (kortverkande beta-2-agonist) vid behov vid enstaka tillfällen. Nu har hon succesivt behövt använda inhalatorn mer senaste månaderna och inhalerat nästan dagligen de senaste två veckorna, men upplever trots det att det är trångt i bröstet och att andningen är pipig. Särskilt besvärligt är det när hon anstränger sig, vilket gjort att hon avstått träning. Hon har inga förkylningssymtom och mår i övrigt bra. Inga nya husdjur. Pulm auskulteras med sibilanta ronchi. Du bedömer i första hand att symtomen beror på att hennes astma är underbehandlad och kommer överens med patienten om att göra en medicinjustering för att minska symtomen.Vilken medicinjustering är förstahands rekommendation? Endast ett svar ska markeras. - Byt till långverkande beta-2-agonist- Tillägg av antikolinergika- Tillägg av inhalationssteroid- Tillägg av leukotrienantagonist- Tillägg av långverkan beta-2-agonist1 p

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