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ASTHMA-MANAGEMENT SUMMARY

Respiratory

ASTHMA-MANAGEMENT SUMMARY

The most effective treatment is stopping exposure to any environmental triggers.

1. INTERMITTENT: Symptoms < 2 days/week => inhaled short-acting beta-2-agonist (SABA), albuterol, is the 1 st choice for "rescue" treatment of an acute exacerbation.

2. MILD PERSISTENT: Symptoms 3-6 days/week => SABA + inhaled corticosteroid (ICS).

3. MODERATE PERSISTENT: Symptoms daily => low-dose ICS + LABA (salmeterol, formoterol) OR medium dose ICS.

4. SEVERE PERSISTENT: Symptoms throughout the day => medium-dose ICS + LABA (salmeterol, formoterol).

5. SEVERE PERSISTENT: Symptoms throughout the day => high-dose ICS + LABA and consider omalizumab for patients with allergies.

6. SYMPTOMS ALL NIGHT: consider short course of oral corticosteroids, step up 1-2 steps and re-evaluate in 2 weeks.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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