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Asthma

Stacy E. Potts, MD, MEd Reviewed 06/2020
 


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: 
  • More than one symptom such as wheeze, SOB, cough, chest tightness

  • Symptoms worse at night, vary in time and intensity, worse with common trigg...

TREATMENT

GENERAL MEASURES

  • Focus on symptom control and prevention of exacerbations.

  • Use Asthma Management Cycle: Assess, Adjust, Review Response

  • Use of holding chambers (“spacers”) with inhaled agents i...

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, 2019. Available from: www.ginasthma.org. https://ginasthma.org/wp-content/uploads/2019/06/GINA-2019-main...

CODES

ICD10

  • J45.20 Mild intermittent asthma, uncomplicated

  • J45.52 Severe persistent asthma with status asthmaticus

  • J45.51 Severe persistent asthma with (acute) exacerbation

  • J45.902 Unspecified asthma with...

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. GI...

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