Skill Checkup: A 17-Year-Old Male With Shortness of Breath, Cough With Green Sputum, Headache, and Low-Grade Fever

Enrico Brunetti, MD


November 07, 2022

Based on GINA guidelines for COVID-19 and asthma, the first dose of asthma biologic therapy and COVID-19 vaccine should not be given on the same day, so that adverse effects of either can be more easily identified. Further, the patient should be encouraged to stay up to date with COVID-19 vaccinations.

The patient should also be encouraged to stay up to date with their influenza vaccination, per the same guidelines; this dose may be taken on the same day as biologic therapy.

Finally, the same guidelines state that the patient should continue taking normal prescribed asthma medications. It is also critical for all asthma patients to have a written asthma plan, with the intent to increase controller and reliever medication when asthma worsens, and to take a short course of OCS for severe asthma exacerbations.

Editor's Note: Skill Checkups are wholly fictional or fictionalized clinical scenarios intended to provide evidence-based educational takeaways.

The information in this quiz is current as of November 7, 2022. For the most recent COVID information, see

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