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Asthma

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A heterogeneous disease characterized as chronic inflammation of the airway; patients present with history of wheeze, shortness of breath (SOB), chest tightness, and cough which vari...

DIAGNOSIS

HISTORY

History of variable respiratory symptoms with patterns characteristic of asthma symptoms and timing of initiation during childhood: 
  • More than one symptom such as wheeze, SOB, cough, c...

TREATMENT

GENERAL MEASURES

  • Focus always on symptoms control.

  • Use of holding chambers (“spacers”) improves with inhaled agents improves clinical outcomes.

  • Written asthma self-management action plan (1)

  • Enc...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Identify triggers and control exposures.

  • Consider stepping down treatment once symptoms are controlled for 3 months and patient is at low risk for exacerbation.

PATIENT EDUCATION

REFERENCES

1
Global Initiative for Asthma. Global strategy for asthma management and prevention. http://ginasthma.org/2017-gina-report-global-strategy-for-asthma-management-and-prevention/. Accessed Fe...

CODES

ICD10

  • J45.909 Unspecified asthma, uncomplicated

  • J45.901 Unspecified asthma with (acute) exacerbation

  • J45.20 Mild intermittent asthma, uncomplicated

  • J45.30 Mild persistent asthma, uncomplicated

  • J45.90...

CLINICAL PEARLS

  • SABA is the most effective rescue therapy for acute asthma symptoms.

  • Holding chambers should be used by all.

  • ICSs are the preferred long-term control therapy for patients of all ages.

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