A 58 yo male with asthma and allergic rhinitis reports difficulty using his asthma inhalers and nasal spray.
He has a history of DM2, allergic rhinitis, mild asthma, severe arthritis of the hands, and a R hand weakness secondary to remote stroke.
Nasacort (triamcinolone), Albuterol MDI, glyburide, rosiglitazone
HEENT: Pale boggy turbinates with 75% obstruction of the nasal cavity
Chest: CTA (B)
Extremities: severe arthritis of both hands, and a R hand weakness secondary to remote stroke.
A hand with arthritic changes. Image source: Cicadas, a Creative Commons license.
What would you recommend to this patient?
Read more in Treatment Devices for an Asthma and Allergic Rhinitis Patient with Arthritis and Stroke from AllergyCases.org.