Skip to main content

Asthma

Veronica A. Torres, MD and Stacy E. Potts, MD, Med Reviewed 06/2019
 


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 always on symptom control.

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

  • Written asthma self-management action plan (1)

  • Enco...

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. 2018 GINA report, global strategy for asthma management and prevention. http://ginasthma.org/2018-gina-report-global-strategy-for-asthma-management-and-preven...

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.

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×