Exam 3 - Asthma/COPD Flashcards
intermittent asthma (0-4 yrs)
symptoms = 2 days/week
0 night time awakenings
SABA use = 2 days/week
intermittent asthma (5-11 yrs)
symptoms = 2 days/week
= 2 nighttime awakenings/week
SABA use = 2 days/week
mild asthma (0-4 yrs)
symptoms > 2 days/week (not daily)
1-2 nighttime awakenings/month
SABA use > 2 days/week (not daily)
minor normal activity limitation
mild asthma (5-11 yrs)
symptoms > 2 days/week (not daily)
3-4 nighttime awakenings/month
SABA use > 2 days/week (not daily)
minor normal activity limitation
moderate asthma (0-4 yrs)
symptoms daily
3-4 nighttime awakenings/month
SABA use daily
some normal activity limitation
moderate asthma (5-11 yrs)
symptoms daily
> 1 nighttime awakening per week (not nightly)
SABA use daily
some normal activity limitation
severe asthma (0-4 yrs)
symptoms throughout the day
> 1 nighttime awakening/week
SABA use several times per day
extreme normal activity limitation
severe asthma (5-11 yrs)
symptoms throughout the day
nighttime awakenings often (7/week)
SABA use several times per day
extreme normal activity limitation
step 1 therapy (0-4 yrs)
SABA prn
step 2 therapy (0-4 yrs)
preferred:
low-dose ICS
alternative:
montelukast or cromolyn
step 3 therapy (0-4 yrs)
medium dose ICS
step 4 therapy (0-4 yrs)
medium-dose ICS
AND
montelukast or LABA
step 5 therapy (0-4 yrs)
high-dose ICS
AND
montelukast or LABA
step 6 therapy (0-4 yrs)
high-dose ICS AND montelukast or LABA AND oral coricosteroids
step 1 therapy (5-11 yrs)
SABA prn
step 2 therapy (5-11 yrs)
preferred:
low-dose ICS
alternative:
LTRA, cromolyn, OR nedocromil
step 3 therapy (5-11 yrs)
preferred:
medium-dose ICS
OR
low-dose ICS + LABA, LTRA, or theophylline
step 4 therapy (5-11 yrs)
preferred:
medium dose ICS + LABA
alternative:
medium-dose ICS + LTRA or theophylline
step 5 therapy (5-11 yrs)
preferred:
high-dose ICS + LABA
alternative:
high-dose ICS + LTRA or theophylline
step 6 therapy (5-11 yrs)
preferred:
high-dose ICS + LABA + oral corticosteroid
alternative:
high-dose ICS + LTRA or theophylline + oral corticosteroid