Does the patient need to be actively smoking to count for the Condition of 20 pack-year history in order to administer Dexamethasone?
First off, good for the patient for quitting. The patient does NOT need to be an active smoker.
Unfortunately, if the patient has symptoms of bronchoconstriction and at least a 20 pack-year history of smoking, then the damage has been done. This patient will benefit from Dexamethasone administration.