Asthma: Chronic Management
Jake Anderson, DO, and Vanessa Cardy, MD
Background
- Condition of reversible airflow obstruction
Clinical Findings
- Recurrent symptoms
- Chest tightness
- Wheezing
- Dyspnea
- Chronic cough
- Spirometry
- Reversible airflow obstruction
Management
- Trigger avoidance
- Smoking cessation
- Medication therapy provided in a stepwise approach
- Annual influenza vaccination
- Medications
- As needed use:
- Short-acting beta 2 agonists for all
- Short-acting muscarinic antagonists (for exacerbations)
- Daily controller therapy (listed stepwise):
- Inhaled corticosteroids and long-acting beta agonists
- Leukotriene antagonist
- Theophylline
Ian L. - February 3, 2020 6:22 PM
Spirometer is not reliable in 1-5 year olds and there work of breathing mental state and history and exam plus therapeutic test of a bronchodilator or and oral cortisone is necessitated .
Aminophylline is not usual treatment and you have to be very careful re toxicity .