Asthma Step Up Ladder

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Asthma step up ladder.

Step up 1 step. The 2019 update includes a complete revision of the section on monitoring asthma including new information on predicting future risk of asthma attacks and updates to the sections on pharmacological management of asthma supported self management non pharmacological management of asthma and management of acute asthma in adults and children. Every 2 6 weeks while gaining control every 1 6 months to monitor control every 3 months if step down in therapy is anticipated use of medications. Determine if therapy should be adjusted.

This summary focuses on recommendations for the management of asthma in adults including diagnosis monitoring pharmacological management and management of acute asthma. Re evaluate in 2 weeks. British guideline on the diagnosis and management of asthma. Re evaluate in 2 6 weeks.

Step 1 occasional relief of symptoms as required inhaled short acting b 2 agonist given to all patients step 2 inhaled corticosteroid ics beclometasone or budesonide 200mcg twice daily if using qvar 100mcg twice daily step 3 long acting b 2 agonist laba formoterol 12mcg twice daily or salmeterol 50mcg twice daily 4 week trial. Asthma is highly variable over time. Consider short course oral corticosteroid. Step up if needed first check inhaler technique adherence environmental control and comorbid conditions assess control step down if possible and asthma is well controlled for at least 3 months step 1 step 2 step 3 step 4 step 5 step 6 intermittent asthma persistent asthma.

Step down if possible. Asthma causes sympt oms such as wheezing shortness of breath chest tightness and cough that vary over time in their occurrence. Step up 1 2 steps. Step up if needed.

32 glossary of asthma medication classes. This guidelines summary is part of a series of summaries of the british thoracic society scottish intercollegiate guidelines network guideline 158.