Pulmonology Book

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Intermittent Asthma

Aka: Intermittent Asthma, Mild Intermittent Asthma
  1. See Also
    1. Asthma
    2. Asthma Evaluation
    3. Asthma Education
    4. Asthma Management
    5. Mild Persistent Asthma
    6. Moderate Persistent Asthma
    7. Severe Persistent Asthma
    8. Exercise Induced Bronchospasm
    9. Asthma Exacerbation
  2. Criteria
    1. Asymptomatic on most days without interference with normal activity
    2. Occasional exacerbations (Less than twice/week)
      1. Exacerbations are brief (hours to days)
      2. Nighttime exacerbations are 2 or less times monthly
      3. Short-acting Beta Agonist (e.g. Albuterol) use 2 or less times weekly
      4. Oral Corticosteroids required 0-1 times per year
    3. Normal Pulmonary Function Test between exacerbations
      1. FEV1 or PEF >80% predicted
      2. FEV1 to FVC ratio normal (>85% for age 5-19 years, >80% for age 20-39 years, >75% for age 40-59, then >70%)
      3. PEF Variability <20%
  3. Management
    1. See Asthma Stepped Care
    2. No daily medications necessary
    3. Inhaled short acting Beta agonist as needed
    4. If beta agonist use more than twice per week:
      1. Step-up to Mild Persistent Asthma Management
      2. Consider long-term control (Inhaled Corticosteroids)
    5. Asthma Education
  4. References
    1. Park (2017) Asthma Updates, Mayo Clinical Reviews, Rochester, MN
    2. (1997) Management of Asthma, NIH 97-4053
    3. (1995) Global Strategy for Asthma, NIH 95-3659
    4. Kalister (2001) West J Med 174:415-20 [PubMed]
    5. Kemp (2001) Am Fam Physician 63(7):1341-54 [PubMed]

Mild intermittent asthma (C1960045)

Concepts Disease or Syndrome (T047)
ICD10 J45.2, J45.20
SnomedCT 427679007
English Mild intermittent asthma, Mild intermittent asthma (disorder), mild intermittent asthma (diagnosis), mild intermittent asthma, Mild intermittent asthma NOS
Spanish asma leve intermitente (trastorno), asma leve intermitente
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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