Chronic Asthma- GINA Guidelines Flashcards
Track 1 consists of what?
Controller and preferred reliever
Reliever used in Track 1 of GINA
Symbicort
New patients with asthma on track 1: they qualify for Steps 1-2 treatment with what frequency of symptoms?
Symptoms <4-5 days/week
New patients with asthma on track 1: they qualify for Step 3 treatment with what frequency of symptoms?
Symptoms most days, or waking with asthma once a week or more
New patients with asthma on track 1: they qualify for Step 4 treatment with what frequency of symptoms?
Daily symptoms, or waking with asthma once a week or more, and low lung function
Track 2 consists of what?
Controller and alternate reliever
New patients with asthma on track 2: they qualify for Steps 1 treatment with what frequency of symptoms?
Symptoms less than twice a month
New patients with asthma on track 2: they qualify for Step 2 treatment with what frequency of symptoms?
Symptoms twice a month or more, but less than 4-5 days/week
New patients with asthma on track 2: they qualify for Step 3 treatment with what frequency of symptoms?
Symptoms most days, or waking with asthma once a week or more (same as track 1)
New patients with asthma on track 2: they qualify for Step 4 treatment with what frequency of symptoms?
Daily symptoms, or waking with asthma once a week or more and low lung function (the same as track 1)
Last-resort options for GINA: Steps 1-2 for track 1, step 2 for track 2
Low-dose ICS whenever SABA taken, or daily LTRA, or add HDM SLIT
Last-resort options for GINA: Step 3 for both tracks
Medium dose ICS, or add LTRA, or add HDM SLIT
Last-resort options for GINA: Step 4 for both tracks
Add LAMA or LTRA or HDM SLIT, or switch to high-dose ICS
Last-resort options for GINA: step 5 for both tracks
Add azithromycin for adults or LTRA. Consider low-dose OCS but consider the side effects
For track 2: what should you consider before starting a treatment regimen with a SABA reliever?
If the patient will be adherent with a daily controller
