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Table Of Contents

>5000 deaths annually
Key points
Airway inflammation (AI) contributes to
AI causes types of airflow limitation:
Working definition of asthma (1995,
NHLBI)
Child-onset asthma
Adult-onset asthma
The cells that influence &/or regulate
AI:
Asthma diagnosis criteria
Techniques to establish diagnosis
Asthma Specialist
Differences from 1991 Expert Panel
Goals of therapy
Recommended monitoring
Monitor using clinician assessment/pt
self-assessment
Written action plan based on:
Patient education:
Added patient/family satisfaction to
treatment goals
Periodic assessment of 6 domains of
patient health are recommended:
PF measurements changes
Emphasis that all pts. regardless of
Asthma treatment effectiveness
Personal best
Long-term control medications
Quick relief medications
Corticosteroids
Corticosteroids
Long-acting beta-
2agonists
Methylxanthines
2 agonists
Anticholinergics
Systemic steroids
Medications to reduce oral steroid
dependence
Step 1
Mild, moderate or severe
Mild persistent asthma (step 2 care)
Moderate persistent asthma (step 3
care)
Moderate persistent asthma (if not
adequately controlled)
Severe persistent asthma (step 4)
Diagnosis difficult
Infants & young children (<5 yrs)
Start treatment when asthma
exacerbation recognized
While tx is being given:
Decision to hospitalize depends upon:
Treatment:
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Asthma

Asthma

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Published by Malik Waheed

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Published by: Malik Waheed on May 10, 2011
Copyright:Attribution Non-commercial

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05/17/2012

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