Clinical Management of Asthma Expert Panel Report 3

Clinical Management of Asthma Expert Panel Report 3 National Asthma Education and Prevention Program National Heart, Lung and Blood Institute, 2007 Source: http: //www. nhlbi. nih. gov/guidelines/asthma/asthgdln. pdf

2007 NAEPP EPR-3 v Treatment recommendations based on: v. Severity v. Control v. Responsiveness v Provide patient self-management education at multiple points of care v Reduce exposure to inhaled indoor allergens to control asthmamultifaceted approach Source: http: //www. nhlbi. nih. gov/guidelines/asthma/asthgdln. pdf

What is GIP? v Guidelines Implementation Panel Report for Expert Panel Report 3 v Recommendations and strategies to implement EPR-3 v Six key messages Source: http: //www. nhlbi. nih. gov/guidelines/asthma/gip_rpt. pdf

GIP’s Six Key Messages v Inhaled Corticosteroids v Asthma Control v Follow-up Visits v Asthma Action Plan v Asthma Severity Source: http: //www. nhlbi. nih. gov/guidelines/asthma/gip_rpt. pdf v Allergen and Irritant Exposure Control

Diagnosing Asthma: Medical History v Symptoms v. Coughing v. Wheezing v. Shortness of breath v. Chest tightness v Symptom Patterns v Severity v Family History

Diagnosing Asthma v Troublesome cough, particularly at night v Awakened by coughing v Coughing or wheezing after physical activity v Breathing problems during particular seasons v Coughing, wheezing, or chest tightness after allergen exposure v Colds that last more than 10 days v Relief when medication is used

Diagnosing Asthma v Wheezing sounds during normal breathing v Hyperexpansion of the thorax v Increased nasal secretions or nasal polyps v Atopic dermatitis, eczema, or other allergic skin conditions

Diagnosing Asthma: Spirometry Test lung function when diagnosing asthma

Medications to Treat Asthma v Medications come in several forms. v Two major categories of medications are: v. Long-term control v. Quick relief

Medications to Treat Asthma: Long-Term Control v Taken daily over a long period of time v Used to reduce inflammation, relax airway muscles, and improve symptoms and lung function v. Inhaled corticosteroids v. Long-acting beta 2 -agonists v. Leukotriene modifiers

Medications to Treat Asthma: Quick-Relief v Used in acute episodes v Generally shortacting beta 2 agonists

Medications to Treat Asthma: How to Use a Spray Inhaler The health-care provider should evaluate inhaler technique at each visit. Source: “What You and Your Family Can Do About Asthma” by the Global Initiative for Asthma Created and funded by NIH/NHLBI

Medications to Treat Asthma: Inhalers and Spacers can help patients who have difficulty with inhaler use and can reduce potential for adverse effects from medication.

Medications to Treat Asthma: Nebulizer v Machine produces a mist of the medication v Used for small children or for severe asthma episodes v No evidence that it is more effective than an inhaler used with a spacer