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Clinical Management of Asthma

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Slide 1 - Clinical Management of Asthma Expert Panel Report 3 National Asthma Education and Prevention Program National Heart, Lung and Blood Institute, 2007 Source: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf
Slide 2 - 2007 NAEPP EPR-3 Treatment recommendations based on: Severity Control Responsiveness Provide patient self-management education at multiple points of care Reduce exposure to inhaled indoor allergens to control asthma-multifaceted approach Source: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf
Slide 3 - What is GIP? Guidelines Implementation Panel Report for Expert Panel Report 3 Recommendations and strategies to implement EPR-3 Six key messages Source: http://www.nhlbi.nih.gov/guidelines/asthma/gip_rpt.pdf
Slide 4 - GIP’s Six Key Messages Inhaled Corticosteroids Asthma Action Plan Asthma Severity Asthma Control Follow-up Visits Allergen and Irritant Exposure Control Source: http://www.nhlbi.nih.gov/guidelines/asthma/gip_rpt.pdf
Slide 5 - Diagnosing Asthma: Medical History Symptoms Coughing Wheezing Shortness of breath Chest tightness Symptom Patterns Severity Family History
Slide 6 - Diagnosing Asthma Troublesome cough, particularly at night Awakened by coughing Coughing or wheezing after physical activity Breathing problems during particular seasons Coughing, wheezing, or chest tightness after allergen exposure Colds that last more than 10 days Relief when medication is used
Slide 7 - Diagnosing Asthma Wheezing sounds during normal breathing Hyperexpansion of the thorax Increased nasal secretions or nasal polyps Atopic dermatitis, eczema, or other allergic skin conditions
Slide 8 - Diagnosing Asthma: Spirometry Test lung function when diagnosing asthma
Slide 9 - Medications to Treat Asthma Medications come in several forms. Two major categories of medications are: Long-term control Quick relief
Slide 10 - Medications to Treat Asthma: Long-Term Control Taken daily over a long period of time Used to reduce inflammation, relax airway muscles, and improve symptoms and lung function Inhaled corticosteroids Long-acting beta2-agonists Leukotriene modifiers
Slide 11 - Medications to Treat Asthma: Quick-Relief Used in acute episodes Generally short-acting beta2agonists
Slide 12 - Medications to Treat Asthma: How to Use a Spray Inhaler The health-care provider should evaluate inhaler technique at each visit. Source: “What You and Your Family Can Do About Asthma” by the Global Initiative for Asthma Created and funded by NIH/NHLBI
Slide 13 - Medications to Treat Asthma: Inhalers and Spacers Spacers can help patients who have difficulty with inhaler use and can reduce potential for adverse effects from medication.
Slide 14 - Medications to Treat Asthma: Nebulizer Machine produces a mist of the medication Used for small children or for severe asthma episodes No evidence that it is more effective than an inhaler used with a spacer