event. Based on the disease severity, the provided then can decide on medication and self-care options. (Falk et al., 2016) Long term or daily asthma medications are referred to as “controller therapies”. These medications are used to treat the underlying inflammation and with the goal of overall asthma control. Controller medications are not used to treat an acute attack of asthma.(Sobieraj & Baker, 2018)There are several types of long-acting medications available to the provider, the most common are inhaled corticosteroids. The main side effects of these include mouth and throat irritation and oral yeast infections which is why using a spacer and rinsing your mouth is recommended. Leukotriene modifiers block the effects of leukotrienes, immune system chemicals that cause asthma symptoms. (Mayo Clinic , 2018)The NHLBIpanel has recommended that the goal of asthma therapy is to control symptoms using the least amount of medicine as possible to minimize the risk of adverse effects. Stepwise is a six-step approach to doing this where the dose, number of doses and the frequency can be increased or decreased as appropriate. If a patient’s symptoms are not well controlled over
ASTHMA4a three month period of using long-acting medications, then the provider will utilize this approach. (Arcangelo et al., 2017) Step one involves starting with a short-acting inhaled beta-adrenergic, this progresses to adding a lower dose corticosteroid in step two. If the patient is 12
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- Summer '15