Asthma Guideline Implementation assessing control (Newman) Flashcards

1
Q

Well Controlled: Sx

A

<2days/week

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2
Q

Well Controlled: Nighttime awakenings

A

<1x/month (<12)

<2x/month (>12)

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3
Q

Well Controlled: interference with normal activity

A

none

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4
Q

Well Controlled: SABA use for Sx

A

<2 days/week

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5
Q

Well Controlled: Lung function

A

FEV1 > 80%

FEV1/FVC >80%

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6
Q

Well Controlled: exacerbation requiring OCS

A

0-1/year

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7
Q

Well Controlled: reduction in lung growth

A

needs long term f/u

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8
Q

Well Controlled: treatment related to adverse effects

A

medication side effects do not correlate w/ specific levels of control but should be considered in overall risk

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9
Q

Well Controlled: recommended action for Tx

A

consider step down if well controlled over 3 mo

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10
Q

Not Well Controlled: Sx

A

<2days/week (<11)

multiple times <2days/week

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11
Q

Not Well Controlled: nighttime awakenings

A

> 2x/mo (<12)

1-3x/week (>12)

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12
Q

Not Well Controlled: interference with normal activity

A

some limitation

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13
Q

Not Well Controlled: SABA use for symptoms

A

> 2days/week

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14
Q

Not Well Controlled: lung function

A

FEV1 > 60-80%

FEV1/FVC 75-80%

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15
Q

Not Well Controlled: exacerbation requiring OCS

A

2-3x/year(0-4)

>2x/year (>5)

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16
Q

Not Well Controlled: reduction in lung growth

A

needs long term f/u

17
Q

Not Well Controlled: treatment related to adverse effects

A

medication side effects do not correlate w/ specific levels of control but should be considered in overall risk

18
Q

Not Well Controlled: recommended action for treatment

A

step up 1 step

eval in 2-6 weeks

19
Q

Very Poorly Controlled: Sx

A

throughout the day

20
Q

Very Poorly Controlled: nighttime awakenings

A

> 2x/week (<12)

>4x/week (>12)

21
Q

Very Poorly Controlled: interference with normal activity

A

extremely limited

22
Q

Very Poorly Controlled: SABA use for symptoms

A

several times per day

23
Q

Very Poorly Controlled: lung function

A

FEV1 < 60%

FEV1/FVC <75%

24
Q

Very Poorly Controlled: exacerbation requiring OCS

A

> 3x/year (0-4)

>2x/year (>5)

25
Q

Very Poorly Controlled: recommended action for treatment

A

consider short course OCS
step up 1-2 steps
eval in 2 weeks

26
Q

Very Poorly Controlled: reduction in lung growth

A

needs long term f/u

27
Q

Very Poorly Controlled: treatment related to adverse effects

A

medication side effects do not correlate w/ specific levels of control but should be considered in overall risk