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Evaluate asthma control, establish optimal treatment, and monitor progress over 28 days. Engage with asthma nurse for step-up guidance. Reset evaluation and control periods as needed.
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START Evaluation period * ACQ today starts after treatment step up Optimal control period starts after one ACQ ≤ 0.5 Evaluation period No medication No > 28 days change Yes Optimal control ≤ 0.5 0 . 5 – 1 . 0 1 . 0 – 1 . 5 ≥1.5 period > 28 days Yes No ACQ previous All ACQs in optimal control period ≤ 0 . 5 ≤ 0.5 0 . 5 – 1 . 0 Yes No No medication Immediate Immediate step up Step down Step up change step up + contact asthma nurse Reset optimal Reset evaluation control period period
