ASTHMA 2009. RAMESH KAUL, MD M Surgery FCCP. Asthma definition. Asthma: Definition by WHO
RAMESH KAUL, MD M Surgery FCCP
Symptoms<2 times a weeksAsymptomatic and normal PEF between exacerbationsExacerbations brief (from a few hours to a few days); intensity may vary<2 times a month
Lung Function : FEV1 or PEF >80% predicted
PEF variability <20%
Symptoms >2 times a week but <1 time a dayExacerbations may affect activity>2 times a month
Lung Function: FEV1 or PEF >80% predicted PEF variability 20-30%
Daily symptomsDaily use of inhaled or short-acting b2-agonistExacerbations affect activityExacerbations >2 times a week; may last days
Continued symptoms Limited physical activity Frequent exacerbations
Adult self-management instructions.
Important Peak Flow Numbers Baseline_________ L/min_______% Baseline=__________________L/min
If your peak flow drops below ___________or you notice:—Increased use of inhaled treatments to manage asthma—Increased asthma symptoms upon awakening or at night.
Follow these treatment steps: Increase inhaled steroids Take Two puffs of _____________FOUR times a day.
Begin/increase treatment with oral steroids Take ___ mg of prednisone at _______ AM and/ or _______ PM
If your peak flow number drops below __________or if you continue to get worse after treatment according to the directions above, follow these treatment steps.
Begin/increase treatment with oral steroids
Take ______mg of prednisone at _______AM and/ or _______PM
Contact your health-care provider. if: Your peak flow number drops below_______.
Asthma symptoms worsen while you are taking oral steroids
Inhaled bronchodilators treatments are not lasting four hours
If you can not contact your health care provider go directly to the ED.
If you have questions call __________________ Date _________________Physician signature ________________Patient/Family signature_____________