Asthma Classification and Steps

Question 1

Symptoms

Answer 1

<= 2 days/week = intermittent

>2 days/week but not daily = mild persistent

Daily = moderate persistent

Throughout the day = severe persistent

Question 2

Nighttime awakenings

Answer 2

0 = Intermittent

1-2x/month = Mild persistent

3-4x/month = Moderate persistent

>1x/week = Severe persistent

Question 3

SABA use for symptom control

Answer 3

<2 days/week = Intermittent

> 2 days/week but not daily = Mild persistent

Daily = Moderate persistent

Several times per day = Severe persistent

Question 4

Interference with Normal Activity

Answer 4

None = Intermittent

Minor limitation = Mild persistent

Some limitation = Moderate persistent

Extremely limited = Severe persistent

Question 5

Step 1

0-4 years old

Answer 5

SABA PRN

Question 6

Step 2

0-4 years old

Answer 6

Low dose ICS

Alternative: Cromolyn/Montelukast

Question 7

Step 3

0-4 years old

Answer 7

Medium dose ICS

Question 8

Step 4

0-4 years old

Answer 8

Medium dose ICS + LABA or Montelukast

Question 9

Step 5

0-4 years old

Answer 9

High dose ICS +

LABA or Montelukast

Question 10

Step 6

0-4 years old

Answer 10

High dose ICS +

LABA or Montelukast

Oral systemic corticosteroids

Question 11

Step 1

5-11 years old

Answer 11

SABA PRN

Question 12

Step 2

5-11 years old

Answer 12

Low dose ICS

Alternative: Cromolyn, LTRA, Nedocromil, Theophylline

Question 13

Step 3

5-11 years old

Answer 13

Low dose ICS + LABA/LTRA/Theophylline

OR

Medium dose ICS

Question 14

Step 4

5-11 years old

Answer 14

Medium dose ICS + LABA

Alternative: Medium dose ICS + LTRA/Theophylline

Question 15

Step 5

5-11 years old

Answer 15

High dose ICS + LABA

Alternative: High dose ICS + LTRA/Theophylline

Question 16

Step 6

5-11 years old

Answer 16

High dose ICS + LABA + Oral corticosteroid

Alternative: High dose ICS + LTRA/Theophylline + Oral corticosteroids