BOx 1-1. Diagnostic flowchart tor clinical practice
agaualn pasion neMtng
gaia quinn? cet Wx
ddow 2
Sa ey
Sse:
Roa
Lauotan pemerusaan
Men det a Canam Men~
dotem dm Yemtis) .
Pea ec ee)
femertecann ton
Leg Tanjerann 8»
Pend foe 15.
7 Agauan alt de
¥en gene
Apauo ¢e sudnt
Poo ty sates
Foran otteroia (es)?
langueaha ae fete fo 7?
"BS2n tance
Lawuan gen
Spicomen aa $03
fuente Tiers opnta,
Mastinge mend
We aaeet =
KAMOANO LRN FEMBETAN AF
fers Satoh Sig gs eg ae
corbin “e :
Fea pen vincotam, (COM AP
EEE Oe Obie tz yin i ‘Treat fc
(ven \.
» - tr “fo
PEF: peak expiratory flow (highest of three readings). When measuring PEF, use the same meter each time as the value may vary by up to 20%
between diferent motors;
Bronchodilator responsiveness (reversibiity) may be lost during severe exacerbations or viral infections, and in long-standing asthma, and it usually
decreases with inhaled corticosteraid treatment. if bronchodilator responsiveness is not found at inital presentation, the next step depends on the
avellabiily of este and the clinical urpency of need lor veatment.
‘as-needed. See ist of abbreviations (p. 10).