Hello I have asthma really bad and for several years

Patient

Q: Hello I have asthma really bad and for several years now I've been having chest infections nearly every month..... I wake up every night not being able to breathe and my inhalers aren't working properly .... The doctors put me on prednisone and amoxicillin every time I go there.... Recently I have been noticing my asthma has been getting worse so much that my blue brown and green inhaler hasn't been working now for about 3months , when I'm prescribed prednisone my tightness in my chest goes down abit but my wheeze still remains.... I struggle with almost everything and my breathing is effecting me so much I can't go to school..... Last night the ambulance came out to me I wasn't taking into hospital but I did have a nebuliser and was giving 2.5mg salbutamol , 500mcg ipratropium Bromide nebulised on oxygen 6lpm (sorry if the spelling is wrong I'm redding from my ambulance notes and it's not printed very clear) ..... After that they took my peek flow and my best was 180 (I'm 17 by the way so I know that's very bad) then they put me on the neb again 2.5mg salbutamol nebulised with oxygen then took my peak flow again it was 190 then they out me back on the neb but tried something different I can't see what it says properly but it's says something like oe/post 1st dose of slb and 1pn or pr?? Then they checked my chest over and it says here on auscultation wheeze still apparent on only expiration on the upper lobe bilaterally ........ But before the neb it says oe/ pt has apparent wheeze throughout resp cycle more prominent on expectation..... So I'm guessing the nebuliser helped. Now it's the day after and I'm feeling rough still and my wheeze has came back and the tighness..... I was wondering if I may have another illness other then asthma can you please help :)

Doctor

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