Pulmonology Book

http://www.fpnotebook.com/

Mild Persistent Asthma

Advertisement

  1. See Also
    1. Asthma Education
    2. Asthma Management
    3. Mild Intermittent Asthma
    4. Moderate Persistent Asthma
    5. Severe Persistent Asthma
  2. Criteria
    1. Frequent exacerbations (>2x/week) but not daily
    2. Exacerbations may affect activity
    3. Nocturnal symptoms more than twice per month
    4. Pulmonary Function Test Criteria
      1. FEV1 or PEF > 80% predicted
      2. PEF variability 20-30%
  3. Management
    1. Long-term control with one Anti-Inflammatory medication
      1. Inhaled Corticosteroid (Low Dose)
      2. Inhaled Cromolyn or Nedocromil
      3. Do not substitute with Long-acting Beta Agonist
        1. Risks loss of Asthma control
        2. Steroids are key management of persistent Asthma
        3. Long-acting Beta Agonist is in addition to steroids
        4. Lazarus (2001) JAMA 285:2583
      4. Adult stable patients may taper steroids to half dose
        1. Hawkins (2003) BMJ 326:1115
    2. Short-term
      1. Rescue with beta agonist
      2. Increased use may indicate Moderate Persistent Asthma
    3. Asthma Education
      1. Consider Group education
  4. References
    1. (1997) Management of Asthma, NIH 97-4053
    2. (1995) Global Strategy for Asthma, NIH 95-3659
    3. Kalister (2001) West J Med 174:415
    4. Kemp (2001) Am Fam Physician 63(7):1341

Mild persistent asthma (C1960046)

ConceptsDisease or Syndrome (T047)
EnglishMild persistent asthma
Parent ConceptsMild asthma (C0581124)
SourcesSNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree