An overview of asthma management
- Christopher H Fanta, MD
Christopher H Fanta, MD
- Professor of Medicine
- Harvard Medical School
- Section Editors
- Robert A Wood, MD
Robert A Wood, MD
- Editor-in-Chief — Allergy and Immunology
- Section Editor — Pediatric Allergy
- Professor of Pediatrics
- Johns Hopkins University School of Medicine
- Bruce S Bochner, MD
Bruce S Bochner, MD
- Editor-in-Chief — Allergy and Immunology
- Section Editor — Adult Allergy; Asthma
- Samuel M Feinberg Professor of Medicine
- Northwestern University Feinberg School of Medicine
This overview topic presents the components and goals of asthma management. It is applicable to both children and adults. The information herein is consistent with "The National Asthma Education and Prevention Program: Expert Panel Report 3, Guidelines for the Diagnosis and Management of Asthma – Full Report 2007" . Similar guidelines have been published by the Global Initiative for Asthma (GINA) .
The diagnosis of asthma and more detailed management issues are reviewed elsewhere. (See "Diagnosis of asthma in adolescents and adults" and "Asthma in children younger than 12 years: Initial evaluation and diagnosis" and "Asthma in children younger than 12 years: Treatment of persistent asthma with controller medications" and "Treatment of intermittent and mild persistent asthma in adolescents and adults" and "Treatment of moderate persistent asthma in adolescents and adults".)
COMPONENTS OF ASTHMA MANAGEMENT
The successful management of patients with asthma includes four essential components:
●Routine monitoring of symptoms and lung function
●Patient education to create a partnership between clinician and patient
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- British Guideline on the Management of Asthma. https://www.brit-thoracic.org.uk/guidelines-and-quality-standards/asthma-guideline/ (Accessed on May 27, 2014).
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- COMPONENTS OF ASTHMA MANAGEMENT
- GOALS OF ASTHMA TREATMENT
- Reduce impairment
- Reduce risk
- MONITORING PATIENTS WITH ASTHMA
- Symptom assessment
- - Assessment of impairment
- - Assessment of risk
- Monitoring pulmonary function
- - Office monitoring
- - Home monitoring
- Novel forms of monitoring
- PATIENT EDUCATION
- Asthma action plan
- CONTROLLING TRIGGERS AND CONTRIBUTING CONDITIONS
- PHARMACOLOGIC TREATMENT
- Categories of asthma severity
- - Intermittent
- - Mild persistent
- - Moderate persistent
- - Severe persistent
- Initiating therapy during an acute exacerbation
- Initiating therapy in previously untreated patients
- Adjusting medication in patients already on controller therapy
- - Intermittent (Step 1)
- - Mild persistent (Step 2)
- - Moderate persistent (Step 3)
- - Severe persistent (Step 4 or 5)
- EFFICACY OF ASTHMA MANAGEMENT
- WHEN TO REFER
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS