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...
More than one symptom such as wheeze, SOB, cough, chest tightness
Symptoms worse at night, vary in time and intensity, worse with common trigg...
Focus always on symptom control.
Use of holding chambers (“spacers”) improves with inhaled agents improves clinical outcomes.
Written asthma self-management action plan (1)
Identify triggers and control exposures.
Consider stepping down treatment once symptoms are controlled for 3 months and patient is at low risk for exacerbation.
J45.909 Unspecified asthma, uncomplicated
J45.901 Unspecified asthma with (acute) exacerbation
J45.20 Mild intermittent asthma, uncomplicated
J45.30 Mild persistent asthma, uncomplicated
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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