Asthma Guideline Implementation assessing control (Newman) Flashcards
Well Controlled: Sx
<2days/week
Well Controlled: Nighttime awakenings
<1x/month (<12)
<2x/month (>12)
Well Controlled: interference with normal activity
none
Well Controlled: SABA use for Sx
<2 days/week
Well Controlled: Lung function
FEV1 > 80%
FEV1/FVC >80%
Well Controlled: exacerbation requiring OCS
0-1/year
Well Controlled: reduction in lung growth
needs long term f/u
Well Controlled: treatment related to adverse effects
medication side effects do not correlate w/ specific levels of control but should be considered in overall risk
Well Controlled: recommended action for Tx
consider step down if well controlled over 3 mo
Not Well Controlled: Sx
<2days/week (<11)
multiple times <2days/week
Not Well Controlled: nighttime awakenings
> 2x/mo (<12)
1-3x/week (>12)
Not Well Controlled: interference with normal activity
some limitation
Not Well Controlled: SABA use for symptoms
> 2days/week
Not Well Controlled: lung function
FEV1 > 60-80%
FEV1/FVC 75-80%
Not Well Controlled: exacerbation requiring OCS
2-3x/year(0-4)
>2x/year (>5)
Not Well Controlled: reduction in lung growth
needs long term f/u
Not Well Controlled: treatment related to adverse effects
medication side effects do not correlate w/ specific levels of control but should be considered in overall risk
Not Well Controlled: recommended action for treatment
step up 1 step
eval in 2-6 weeks
Very Poorly Controlled: Sx
throughout the day
Very Poorly Controlled: nighttime awakenings
> 2x/week (<12)
>4x/week (>12)
Very Poorly Controlled: interference with normal activity
extremely limited
Very Poorly Controlled: SABA use for symptoms
several times per day
Very Poorly Controlled: lung function
FEV1 < 60%
FEV1/FVC <75%
Very Poorly Controlled: exacerbation requiring OCS
> 3x/year (0-4)
>2x/year (>5)
