Asthma - classification of severity & treatment

Question 1

Asthma classification is based on what 5 factors?

Answer 1

S-N-A-I-L
Symptom occurrence, overall
Nighttime awakenings
Activities impacted
Inhaler usage (rescue)
Lung function

**SYMPTOMS and INHALER USE are the same values at each stage

ACTIVITY INTERFERENCE corresponds with asthma classification

Question 2

Intermittent asthma features

Answer 2

S - symptoms 2 days or less/week
N - night awakening 2 nights or less/month
A - no activity limitation
I - inhaler use 2 days or less/week
L - FEV1 > 80%, normal between exacerbations

Question 3

Mild persistent asthma features

Answer 3

S - symptoms > 2 days/week
N - night awakening 3 to 4 nights/month
A - mild limitation on activity
I - inhaler > 2 days per week
L - lung function FEV1 >80%

Question 4

Moderate persistent asthma features

Answer 4

S - symptoms daily
N - night awakening > 1 night/week 
A - moderate limitation on activity
I - inhaler daily
L - lung function FEV1 60 - 80%

Question 5

Severe persistent asthma

Answer 5

S - symptoms throughout the day
N - night awakening every night
A - severe limitation on activity
I - inhaler throughout the day
L - lung function FEV1 <60%

Question 6

Recommended step for starting treatment -

INTERMITTENT asthma

Answer 6

step 1

Question 7

Recommended step for starting treatment -

MILD persisitent asthma

Answer 7

step 2

Question 8

Recommended step for starting treatment -

MODERATE persistent asthma

Answer 8

step 3

Question 9

Recommended step for starting treatment -

SEVERE persistent asthma

Answer 9

step 3 - 4 - or 5

Question 10

Step 1 asthma treatment

all ages

Answer 10

SABA prn

Question 11

Step 2 asthma treatment

all ages

Answer 11

SABA prn
+
< low dose ICS >

Question 12

Step 3 asthma treatment

0-4 years old

Answer 12

SABA prn
+
< medium dose ICS >

Question 13

Step 4 asthma treatment

0-4 years old

Answer 13

SABA prn 
\+
medium dose ICS
\+
< LABA -or- montelukast >

Question 14

Step 5 asthma treatment

0-4 years old

Answer 14

SABA prn 
\+
< high dose ICS >
\+
LABA -or- montelukast

Question 15

Step 6 asthma treatment

0-4 years old

Answer 15

SABA prn 
\+
high-dose ICS
\+
LABA -or- montelukast
\+
< oral corticosteroids >

Question 16

Step 3 asthma treatment

5 years old and up

Answer 16

SABA prn
\+
low-dose ICS
\+
< LABA >

-or-

SABA prn
+
< medium-dose ICS >

Question 17

Step 4 asthma treatment

5 years old and up

Answer 17

SABA prn
\+
< medium-dose ICS >
\+
LABA

Question 18

Step 5 asthma treatment

5 years old and up

Answer 18

SABA prn
\+
< high-dose ICS >
\+
LABA

Question 19

Step 6 asthma treatment

5 years old and up

Answer 19

SABA prn
\+
high-dose ICS
\+
LABA
\+
oral corticosteroid