Patients have symptoms when exposed to triggers upper respiratory infections

Patients have symptoms when exposed to triggers upper

This preview shows page 3 - 5 out of 6 pages.

Patients have symptoms when exposed to triggers (upper respiratory infections, allergens, chemical inhalants). Exercise can be mild intermittent. Need an annual flu shot. Mild Persistent Asthma (Step 2 therapy) Treat with one long-term control medication daily. Low-dose inhaled corticosteroids are the mainstay for all age patients. Cromolyn or a leukotriene modifier are alternatives. See dosage charge for low-dose schedule of each inhaled corticosteroid. Use beta agonists as needed; if using 2 days or more per week, then step up in therapy. Moderate Persistent Asthma (Step 3 therapy) Treat with medium-dose inhaled corticosteroids or low-dose inhaled steroids plus long-acting beta agonists (adults) Alternative: medium-dose inhaled steroid plus leukotriene receptor modifier May use short-acting beta agonists. Exacerbations may require oral corticosteroids. Stepwid e Approac h Children 0-4 & 5- 11 Severe Persistent Asthma Step 4 therapy: Medium-dose inhaled corticosteroids plus long-acting beta agonist Or medium-dose inhaled corticosteroid and a leukotriene modifier or theophylline Step 5 therapy: High-dose inhaled corticosteroids plus long-acting beta agonists Step 6 therapy: High-dose inhaled corticosteroids plus long-acting beta agonists and oral corticosteroids Severe persistent asthma requires consultation with asthma specialist.
Image of page 3
Monitorin g every 1 to 6 months to determine if a step up or step down in therapy is indicated. Reducing 25-50% of dose of inhaled corticosteroids every 2-3 mo to maintain control recommended.
Image of page 4
Image of page 5

You've reached the end of your free preview.

Want to read all 6 pages?

  • Spring '14
  • Henrikson,J
  •  Use

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask You can ask ( soon) You can ask (will expire )
Answers in as fast as 15 minutes