Key Success in Asthma and COPD Management From

Primary and Community care Ambulatory care Acute care

Modified Medical Research Council Dyspnea Score (m. MRC) m. MRC <2 �� m. MRC

Exacerbations • • • Increase in shortness of breath, cough, wheezing, or chest tightness

Pressurized Metered-dose inhalers (p. MDIs) Remember to breathe in slowly 1. Take off the

p. MDIs 3. Put inhaler in your mouth or in front of your mouth.

Accuhaler Empty Test Running out at 0 doses Start at 60 doses

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Key Success in Asthma and COPD Management From Community to Bedside ภญ. ฐานมาศ เถอนหมนไวย

Primary and Community care Ambulatory care Acute care

Level of asthama control : GINA 2010

Modified Medical Research Council Dyspnea Score (m. MRC) m. MRC <2 �� m. MRC > 2 ��

CAT (COPD Assessment Test)

Exacerbations • • • Increase in shortness of breath, cough, wheezing, or chest tightness Exacerbations are characterized by decreases in expiratory airflow that can quantified and monitered by measurement of lung function (FEV 1) Severe exacerbations are potentially lifetreatening and treatment requires close supervision

Severity of exacerbations

Pressurized Metered-dose inhalers (p. MDIs) Remember to breathe in slowly 1. Take off the cap. Shake the inhaler 4 -5 times. 2. Breathe out.

p. MDIs 3. Put inhaler in your mouth or in front of your mouth. As you start to breathe in, push down on the top of the inhaler and keep breathing in slowly. 4. Hold your breath for 10 seconds. Breathe out. Repeat puffs as directed. Waiting 1 min between puffs may permit second puff to penetrate the lungs better. Remember: If you are using corticosteroids MDI. Rinse your mouth with water after using MDI, but do not swallow.

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Turbuhaler

Turbuhaler Empty Test 26

Accuhaler

Accuhaler Empty Test Running out at 0 doses Start at 60 doses

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