Yоu see а 6 yeаr оld girl whо hаs a 2 day history of signs and symptoms of an acute asthma flare resulting from viral upper respiratory tract infection. She is using inhaled budesonide and albuterol as directed and continues to have difficult with increased occurrence of coughing and wheezing. Her respiratory rate is within 50% of upper limits of normal for her age. On exam you note scattered wheezing in all lung fields without crackles or rales. Her medication regimen should be adjusted to include:
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