be assessed thoroughly each time you see your doctor. Then your doctor can adjust your treatment accordingly. Optimal asthma care is a systematic process that involves recognizing disease variants and considering individualized options (Kaufman, 2012).The stepwise approach tailors medications to the level of asthma severity or asthma control and is meant to help, not replace, the clinical management needed to meet individual patient needs (Hanania, 2016).Step 1: Treatment of mild intermittent asthma Inhaled short-acting b2-agonist as necessary
4Step 2: Regular preventive therapy with additional inhaled corticosteroid at a dose that is appropriate to the severity of disease. Step 3: Initial add-on therapy with additional inhaled long-acting b2-agonist if there is benefit from long-acting b2- agonist but control is still inadequate, continue this therapy and increase the dose of inhaled. If control remains inadequate, introduce a trial of other therapies Step 4: Treatment for persistent poor control consider trials of increasing the dose of inhaled corticosteroid Step 5: Continuous or frequent use of oral steroids (Kaufman, 2012).The stepwise approach to therapy, in which the dose and number of medications and frequency of administration are increased as necessary and decreased when possible, is used to achieve and maintain the control of asthma. Because asthma is a chronic inflammatory disorder of the airways with recurrent exacerbations, therapy for persistent asthma must emphasize efforts to suppress inflammation over the long term and to prevent exacerbations (Hanania, 2016).Accompanying each step, the patient must receive appropriate education about asthma, steps in environmental control, and management of co morbidities. This is a helpful approach
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