Asthma

Card Set Information

Author:
Anonymous
ID:
103128
Filename:
Asthma
Updated:
2011-09-20 18:42:18
Tags:
Asthma COMLEX USMLE
Folders:

Description:
Asthma Severity and treatment algorithms
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  1. Symptoms
    <3 times/week, nocturnal awakenings <3/month, may occur only during exercise
    • Mild Intermittent
    • Treatment of Exacerbations
    • Inhaled short acting beta agaonist
    • IV corticosteroids if persistent symptoms
    • Long term Control
    • No daily medication
    • May use mast cell stabilizer if known trigger
  2. bronchodilator use >2 times/week
    nocturnal awakenings >every 2 weeks
    • Mild persistent
    • Treatment of Exacerbations
    • Inhaled short acting beta agonists
    • IV corticosteroids if persistent symptoms
    • Long term control
    • Inhaled low dose corticosterid
    • Consider mast cell stabilizer, leukotriene inhibitor, or theophylline
  3. Daily symptoms
    Daily bronchodilator use
    Symptoms intergere with activity
    Nocturnal awakening >1time/week
    • Moderate persistent
    • Treatment of Exacerbations
    • Inhaled short acting beta agonistsIV corticosteroids if persistent symptoms
    • Long term control
    • inhaled low to medium dose corticosteroids and long acting beta agonsts
    • Consider leukotriene inhibitor
    • Think about theophylline
  4. Symptoms with minimal activity
    Awake multiple times a night
    Require multiple medications on a daily basis
    • Severe
    • Treatment of Exacerbations
    • Inhaled short acting beta agonistsIV corticosteroids if persistent symptoms
    • Lonterm control
    • inhaled high-dose corticosterid, long acting beta agonist
    • Consider systemic corticosteroids

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