A client using inhaled corticosteroids for asthma may require what in their care?

Inhaled corticosteroids are commonly used as a first-line treatment for asthma because they effectively reduce inflammation in the airways and help to control asthma symptoms. However, some clients may experience persistent or severe asthma despite the use of inhaled corticosteroids. In such cases, it may be necessary to consider high doses of systemic corticosteroids to better manage the condition. This can help address acute exacerbations or severe asthma episodes that do not respond adequately to inhaled medications alone.

Using high doses of systemic drugs can provide immediate relief by rapidly reducing inflammation and controlling the symptoms of asthma. However, this approach should be approached cautiously due to the potential for significant side effects associated with systemic corticosteroids, which can impact various body systems when used for prolonged periods. Hence, the emphasis would be on ensuring that systemic therapy is judiciously managed and monitored.

The other options may not adequately address the needs of a client who is not responding to inhaled corticosteroids. Effective asthma management might not necessitate lower doses, a referral might not be necessary if the condition can be managed with increased systemic corticosteroids, and switching to alternative therapies could result in loss of effective management that the current treatment already provides.