CHRONIC ASTHMA ADULTS Flashcards
1
Q
chronic asthma adult tx step 1
A
intermittent reliever SABA
2
Q
chronic asthma adult tx step 2
A
SABA + low dose regular preventer (ICS)
- start ICS if asthma uncontrolled by SABA alone
3
Q
what are the signs that SABA alone isn’t working
A
- using SABA 3x WK
- symptoms 3xWK
- night time awakening at least OW
- using >1 inhaler MT
4
Q
chronic asthma adult tx step 3
NICE + BTS/SIGN
A
SABA + ICS +
- LTRA (NICE)
- LABA (BTS/SIGN) fixed doses or MART
MART = maintenance and reliever therapy
5
Q
chronic asthma adult tx step 4
A
+ LABA if not already added
- can be given with or w/o LTRA
- can convert fixed doses of LABA and moderate strength ICS into MART
6
Q
chronic asthma adult tx step 5
A
increase strength to high strength ICS or initiate (specialist) :
- theophylline
- tiotropium
- oral corticosteroids
- monoclonal antibodies
