Asthma is, in basic terms, a condition characterized by the narrowing and swelling of airways, as well as the production of extra mucus. This results in challenges in breathing – effectively triggering shortness of breath, wheezing, and coughing. It is important to note there is no cure for asthma. It therefore follows that the control of asthmatic symptoms is of the essence. According to the American Lung Association (2020), a person who has a PEAK flow rate of 80% – 100% has reasonably good control of their asthma. On the other hand, as the American Lung Association further points out, “50 to 80 percent of your usual or ‘normal’ peak flow rate signals caution.” Maria’s PEAK flow performance is 60%. It should be noted that during pregnancy, uncontrolled asthma could present serious health challenges/risks for both the mother and the unborn baby. It therefore follows that that on this front, the relevance of making use of the relevant medications as well as avoiding triggers cannot be overstated. In the present scenario, the overall goal ought to be the effective treatment of Maria’s asthma and ensuring that it is controlled well during her pregnancy. When it comes to the management of asthma during pregnancy, Murphy (2015) observes...

260). To a large extent, failure to effectively control Maria’s asthma during her pregnancy predisposes her to complications including, but not limited to high blood pressure. Other serious complications that could result include premature birth, restricted fetal growth – and in even still birth (in extreme cases). With a PEAK flow performance of 60%, Maria is in what is, according to the American Lung Association, referred to as the yellow zone. This essentially signals caution and is indicative of narrowing airways. Thus, intervention measures should be taken to return the PEAK flow to the green zone.
In seeking to manage Maria’s asthma, it would be necessary to put her on two medications, i.e. a rescue medication (in case she has an attack) and a long-term prevention medication so as to ensure that her asthmatic symptoms are well-controlled. Towards this end, for long-term control, Maria could be put on inhaled corticosteroids such as budesonide (Pulmicort). On the other hand, when…