Watch Freddie when it takes Albuterol

Freddie is 5 y/o Black male. Mother states she believes Freddie may have ADHD. Diagnosed with Asthma last year, uses an inhaler about 5 times a week when he’s outside playing. She believes Freddie’s inhaler seems to work well but that he must be allergic to “something outside.” States he loves playing outside and riding his dirt bike. Mother wants to know if she should get him a note to be excused from PE, as he is about to start kindergarten this year. Wants to know what he needs to do before he starts school. States thinks he may have “missed his last immunizations and may need to catch up.” PMH: Asthma. Medications: Albuterol Inhaler for use prn wheezing or shortness of breath. No known drug allergies. BMI 25.  Impression/concerns  Questions for Freddie: When your playing outside do you cough, sneeze, or have a hard time breathing? Do your chest hurt or feels funny? How many times do you use your inhaler in one day? Do you feel better after you use it? Is it harder to breath in the morning or night? Do you have trouble paying attention, forget daily activities, get into trouble a lot?  Questions for Ginger: Does Freddie have any allergies that you are aware of? Do you watch Freddie when it takes Albuterol? Do you think he is using the medication correctly? Do you smoke around Freddie? Do you smoke outside when Freddie is outside playing? Any symptoms occur when you spray perfume, cleaning supplies? Any mold inside the home? Any household pets? When does his symptoms occur? During moderate exercise or physical activity? Has Freddie ever had to go to the ED for an asthma attack?Do you read to Freddie? Do you practice counting numbers and singing ABCs? Does Freddie conform two simple rules regarding behavior? Is Freddie able to separate from you, after a short transition time, for at least half a day? What ways have you been preparing Freddie for school? How does Freddie get along with his siblings? How easily can Freddie make friends? Is Freddie in school? Has he been diagnosed with a learning disability? If Freddie in school how is his progress? Explain why you think Freddie may have ADHD? Does he have impulse control problems? Aggression, defiance, anxiety, difficulties staying on tasks or following instructions? If he has behavior concerns, have you tried verbal reprimands, time out, loss of privileges, punishments, rewards? Is he easily distracted by extraneous stimuli? Talking excessively, interrupts others, fidgets with hands or feet or squirms inn seat, loses temper, often angry, resentful, deliberately annoys people? If you notice any of these problems, at what age did they begin? Do you allow Freddie to eat whatever he wants? Has he ever been on a diet? Does Freddie consume a lot of chips, drink, candy, processed foods, etc.?