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A 12 year old child who is consistently higher than 80% on her peak flow meter should:

Seek immediate medical attention

Stop using albuterol

Continue using her current dose of albuterol and spacer

This is because consistently higher peak flow readings indicate well-controlled asthma. Seeking medical attention or starting a new medication would be unnecessary in this case. Stopping the use of albuterol could also be harmful as it is a rescue medication often used for asthma symptoms. Continuing with the current dose of albuterol and spacer is the appropriate course of action for a well-managed condition.

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