Guidelines for the Diagnosis and Management of Asthma Clinical Practice Guideline September 2013
|
|
- Joshua Hardy
- 6 years ago
- Views:
Transcription
1 Guidelines for the Diagnosis and Management of Asthma Clinical Practice Guideline September 2013 MedStar Health and MedStar Family Choice accept and endorse the clinical guidelines set forth by the National Heart, Lung, and Blood Institute Expert Panel on Asthma, Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma Full Report, The pre-publication report is available on the web at: with the summary report expected December These guidelines provide new guidance for selecting treatment based on a patient's individual needs and level of asthma control. The EPR-3 builds upon complete asthma guidelines issued in 1991 and 1997 and an update on selected topics released in These recommendations are based on the results of evidence-based work in asthma and represent both results of controlled clinical trials and expert consensus. The guidelines focus on four components of asthma care: measures to assess and monitor asthma, patient education, control of environmental factors and other conditions that can worsen asthma, and medications. The guidelines emphasize that while asthma can be controlled; the condition can change over time and differs among individuals and by age groups. Thus, it is important to monitor regularly the patient's level of asthma control so that treatment can be adjusted as needed. Key features and changes to these four components of asthma care include: Assessment and Monitoring: EPR-3 takes a new approach to assessing and monitoring asthma by using multiple measures of the patient's level of current impairment (frequency and intensity of symptoms, low lung function, and limitations of daily activities) and future risk (risk of exacerbations, progressive loss of lung function, or adverse side effects from medications). The guidelines stress that some patients can still be at high risk for frequent exacerbations even if they have few day-to-day effects of asthma. Patient Education. EPR-3 confirms the importance of teaching patients skills to self-monitor and manage asthma and to use a written asthma action plan, which should include instructions for daily treatment and ways to recognize and handle worsening asthma. New recommendations encourage expanding educational opportunities to reach patients in a variety of settings, such as pharmacies, schools, community centers, and patients homes. A new section addresses the need for clinician education programs to improve communications with patients and to use system-wide approaches to integrate the guidelines into health care practice. Control of environmental factors and other conditions that can affect asthma. EPR-3 describes new evidence for using multiple approaches to limit exposure to allergens and other substances that can worsen asthma; research shows that single steps are rarely sufficient. EPR-3 also expands the section on other common conditions that asthma patients can have and notes that treating chronic problems such as rhinitis and sinusitis, gastroesophageal reflux, overweight or obesity, obstructive sleep apnea, stress, and depression may help improve asthma control. Medications. EPR-3 continues the use of a stepwise approach to control asthma, in which medication doses or types are stepped up as needed and stepped down when possible. Treatment is adjusted based on the level of asthma control. Page 1 of 25 Diagnosis and Management of Asthma 2013
2 The stepwise asthma management charts are revised and expanded to specify treatment for three age groups: 0-4 years, 5-11 years, and 12 years and older. The 5-11 age group was added (earlier guidelines combined this group with adults) as a result of new evidence on medications for this age group and emerging evidence that suggests that children may respond differently than adults to asthma medications. The Key Components for Asthma Control 1. Reduce impairment Prevent chronic and troublesome symptoms (e.g. coughing or breathlessness in the night, in the early morning, or after exertion). Require infrequent use (< 2 days per week) of SABA for quick relief of symptoms Maintain (near) normal pulmonary function. Maintain normal activity levels including exercise and other physical activity and attendance at work or school). Meet patients and families expectations of and satisfaction with asthma care. 2. Reduce Risk Prevent recurrent exacerbations of asthma and minimize the need for ED visits or hospitalizations Prevent progressive loss of lung function; for children, prevent reduced lung growth Provide optimal pharmacotherapy with minimal or no adverse effects Appendices: Step Wise Approach For Managing Asthma In Children (0-4 Years Of Age)- Step Wise Approach For Managing Asthma In Children (5-11 Years Of Age) Medication Management for Children Step Wise Approach For Managing Asthma In Youths > 12 And Adults Medication Management for Youths > 12 and Adults Product Updates Table References:. 1. Expert Panel Report 2: Guidelines for the Diagnosis and Management of Asthma. (1997).NIH publication No Asthma Education and Prevention Program. 2. Expert Panel Report 3 (EPR 3): Guidelines for the Diagnosis and Management of Asthma. (2007). National Institutes of Health publication number Retrieved September, 2007 from /guidelines/asthma/asthgdln.htm. Clinical Guidelines are reviewed every two years by a committee of experts in the field. Updates to guidelines occur more frequently as needed when new scientific evidence or national standards are published. Page 2 of 25 Diagnosis and Management of Asthma 2013
3 Page 3 of 25 Diagnosis and Management of Asthma 2013
4 Page 4 of 25 Diagnosis and Management of Asthma 2013
5 Page 5 of 25 Diagnosis and Management of Asthma 2013
6 Page 6 of 25 Diagnosis and Management of Asthma 2013
7 Page 7 of 25 Diagnosis and Management of Asthma 2013
8 Page 8 of 25 Diagnosis and Management of Asthma 2013
9 Page 9 of 25 Diagnosis and Management of Asthma 2013
10 Page 10 of 25 Diagnosis and Management of Asthma 2013
11 Page 11 of 25 Diagnosis and Management of Asthma 2013
12 Page 12 of 25 Diagnosis and Management of Asthma 2013
13 Page 13 of 25 Diagnosis and Management of Asthma 2013
14 Page 14 of 25 Diagnosis and Management of Asthma 2013
15 Page 15 of 25 Diagnosis and Management of Asthma 2013
16 Page 16 of 25 Diagnosis and Management of Asthma 2013
17 Page 17 of 25 Diagnosis and Management of Asthma 2013
18 Page 18 of 25 Diagnosis and Management of Asthma 2013
19 Page 19 of 25 Diagnosis and Management of Asthma 2013
20 Page 20 of 25 Diagnosis and Management of Asthma 2013
21 Page 21 of 25 Diagnosis and Management of Asthma 2013
22 Page 22 of 25 Diagnosis and Management of Asthma 2013
23 Page 23 of 25 Diagnosis and Management of Asthma 2013
24 Page 24 of 25 Diagnosis and Management of Asthma 2013
25 Product Updates: Page Item Current Change to 11 Figure 4-4B Budesonide DPI 90, 180, or 200 mcg/inhalation Budesonide DPI 90 or 180 inhalation 14 Figure 4-4c Albuterol CFC (delete product) 14 Figure 4-4c Pibuterol CFC Autohaler Delete CFC from product description 15 Figure 4-4c Key: CFC, chlorofluorocarbon (delete from key) 20 Figure 4-8a Cromolyn MDI (delete product) 20 Figure 4-8a Nedocromil MDI (delete product) 21 Figure 4-8b Budesonide DPI 90, 180, or 200 Budesonide DPI 90 or 180 mcg/inhalation 21 Figure 4-8b Mometasone DPI 200 mcg/inhalation 200 mcg / 400 mcg / >400 mcg inhalation Mometasone DPI 110 or 220 mcg/inhaler 220 mcg/440 mcg/ >440 mcg 21 Figure 4-8b Triamcinolone acetonide (delete product) 23 Figure 4-8c Albuterol CFC (delete product) 23 Figure 4-8c Pibuterol CFC Autohaler Delete CFC from product description Page 25 of 25 Diagnosis and Management of Asthma 2013
Key features and changes to these four components of asthma care include:
Guidelines for the Diagnosis and Management of Asthma in Adults Clinical Practice Guideline MedStar Health These guidelines are provided to assist physicians and other clinicians in making decisions regarding
More informationDiagnosis, Assessment, Monitoring and Pharmacological Treatment of Asthma
Diagnosis, Assessment, Monitoring and Pharmacological Treatment of Asthma Magnitude of Asthma - India Delhi Childhood asthma: 10.9% Adults: 8% Other Cities 3 to 18% Chhabra SK et al Ann Allergy Asthma
More informationClinical Practice Guideline: Asthma
Clinical Practice Guideline: Asthma INTRODUCTION A critical aspect of the diagnosis and management of asthma is the precise and periodic measurement of lung function both before and after bronchodilator
More informationIn 2002, it was reported that 72 of 1000
REPORTS Aligning Patient Care and Asthma Treatment Guidelines Eric Cannon, PharmD Abstract This article describes how the National Asthma Education and Prevention Program Guidelines for the Diagnosis and
More informationThe methodology behind GINA and EPR-3 medication recommendations: Stepwise treatment in asthma
The methodology behind GINA and EPR-3 medication recommendations: Stepwise treatment in asthma Maureen George PhD RN AE-C FAAN Columbia University mg3656@cumc.columbia.edu Faculty Disclosures Maureen George
More information12/18/2017. Disclosures. Asthma Management Updates: A Focus on Long-acting Muscarinic Antagonists and Intermittent Inhaled Corticosteroid Dosing
Asthma Management Updates: A Focus on Long-acting Muscarinic Antagonists and Intermittent Inhaled Corticosteroid Dosing Diana M. Sobieraj, PharmD, BCPS Assistant Professor University of Connecticut School
More informationAdult Asthma Clinical Practice Guideline Summary
Adult Asthma Clinical Practice Guideline Summary The following evidence-based guideline was developed to assist Primary Care physicians and other clinicians in the management of asthma in adults. It was
More informationEffective Date: 4/27/2016 Version: 1.0 Approval By: CCC Clinical Delivery Steering Planned Review Date: 4/27/2017
Protocol Title: Adult Asthma Protocol Effective Date: 4/27/2016 Version: 1.0 Approval By: CCC Clinical Delivery Steering Planned Review Date: 4/27/2017 1 Purpose & Objective This protocol provides evidence-based
More informationImproving the Management of Asthma to Improve Patient Adherence and Outcomes
Improving the Management of Asthma to Improve Patient Adherence and Outcomes Robert Sussman, MD Atlantic Health System Overlook Medical Center Asthma Remains a Serious Health Risk in the US Every day in
More informationTHE NHLBI GUIDELINES: WHERE DO WE STAND AND WHAT IS THE NEW DIRECTION FROM THE NAEPP?
THE NHLBI GUIDELINES: WHERE DO WE STAND AND WHAT IS THE NEW DIRECTION FROM THE NAEPP? Peter S. Creticos, MD ABSTRACT In 1991 and 1997, the National Heart, Lung, and Blood Institute s National Asthma Education
More informationAsthma Management Updates: A Focus on Long-acting Muscarinic Antagonists and Intermittent Inhaled Corticosteroid Dosing
Asthma Management Updates: A Focus on Long-acting Muscarinic Antagonists and Intermittent Inhaled Corticosteroid Dosing Diana M. Sobieraj, PharmD, BCPS Assistant Professor University of Connecticut School
More informationFIGURE 17. USUAL DOSAGES FOR LONG-TERM CONTROL MEDICATIONS*
FIGURE 17. USUAL DOSAGES FOR LONG-TERM CONTROL MEDICATIONS* 0 4 Years Age and Adults Potential Adverse Effects Inhaled Corticosteroids (See Figure 18, Estimated Comparative Daily Dosages for ICSs. ) Oral
More informationGlobal Initiative for Asthma (GINA) What s new in GINA 2016?
Global Initiative for Asthma (GINA) What s new in GINA 2016? GINA Global Strategy for Asthma Management and Prevention GINA: A Brief History Established in 1993 Collaboration between NHLBI and WHO Multiple
More informationAsthma in Pediatric Patients. DanThuy Dao, D.O., FAAP. Disclosures. None
Asthma in Pediatric Patients DanThuy Dao, D.O., FAAP Disclosures None Objectives 1. Discuss the evaluation and management of asthma in a pediatric patient 2. Accurately assess asthma severity and level
More informationAsthma ASTHMA. Current Strategies for Asthma and COPD
Current Strategies for Asthma and COPD Talmadge E. King, Jr., M.D. Krevins Distinguished Professor of Medicine Chair, Department of Medicine University of California San Francisco (UCSF) San Francisco,
More informationTARGET POPULATION Eligibility Inclusion Criterion Exclusion Criterion RECOMMENDATIONS
TARGET POPULATION Eligibility Inclusion Criterion Exclusion Criterion RECOMMENDATIONS Recommendation PULMONARY FUNCTION TESTING (SPIROMETRY) Conditional: The Expert Panel that spirometry measurements FEV1,
More informationClinical Guideline for the Diagnosis, Evaluation, and Management of Adults and Children with Asthma
Clinical Guideline for the Diagnosis, Evaluation, and Management of Adults and Children with Asthma - 2005 Criteria that suggest the diagnosis of Asthma: The symptoms of dyspnea, cough and/or wheezing,
More informationExpert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma Full Report 2007
Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma Full Report 2007 TARGET POPULATION Eligibility Inclusion Criterion Exclusion Criterion RECOMMENDATIONS Selecting Initial Therapy
More informationOutpatient Guideline for the Diagnosis and Management of Asthma
Outpatient Guideline for the Diagnosis and Management of Asthma Initial Visit Follow-Up Visits See page 2 Asthma Diagnosis See page 3 Classifying Asthma Severity and Initiating Treatment See pages 2 and
More information2014 CLINICAL PRACTICE GUIDELINES FOR ASTHMA
2014 CLINICAL PRACTICE GUIDELINES FOR ASTHMA Updated guidelines for the diagnosis and management of asthma developed by the National Asthma Education and Prevention Program (EPP) were released in October
More informationPrimary Care Medicine: Concepts and Controversies Wed., February 17, 2010 Fiesta Americana Puerto Vallarta, Mexico Update on Asthma and COPD
Primary Care Medicine: Concepts and Controversies Wed., February 17, 2010 Fiesta Americana Puerto Vallarta, Mexico Update on Asthma and COPD Talmadge E. King, Jr., M.D. Krevins Distinguished Professor
More informationPublic Dissemination
1. THE ASTHMA CONDITION 9 18 3 30 A. Pathophysiology 4 6 0 10 1. Teach an individual with asthma and their family using simple language by illustrating the following with appropriate educational aids a.
More informationNational Asthma Educator Certification Board Detailed Content Outline
I. THE ASTHMA CONDITION 9 20 1 30 A. Pathophysiology 4 6 0 10 1. Teach an individual with asthma and their family using simple language by illustrating the following with appropriate educational aids a.
More informationCOPD COPD. Update on COPD and Asthma
Update on COPD and Asthma Talmadge E. King, Jr., M.D. Krevins Distinguished Professor of Medicine Chair, Department of Medicine University of California San Francisco (UCSF) San Francisco, CA COPD COPD
More informationAdult asthma management: focus on control
Adult asthma management: focus on control Jennifer W. McCallister, MD Associate Professor Pulmonary, Allergy, Critical Care & Sleep Medicine The Ohio State University Wexner Medical Center Objectives Apply
More informationSupplementary materials
Supplementary materials Table S1 Patient comorbidities by diagnosis Total Asthma n (%) 5348 (148.4) COPD n (%) 4563 (143.4) ACOS n (%) 469 (197.9) No other comorbidities 95 (26.4) 614 (19.3) 27 (11.4)
More informationDiagnosis, Treatment and Management of Asthma
Diagnosis, Treatment and Management of Asthma Asthma is a complex disorder characterized by variable and recurring symptoms, airflow obstruction, bronchial hyperresponsiveness, and an underlying inflammation.
More informationImproving asthma outcomes though education
Improving asthma outcomes though education Segment 1 Clinical Aspects of Asthma and Long term Plan Primary Care and Asthma Most common chronic disease of childhood. Primary care providers are expected
More informationSAMPLE. mg by mouth every day for day(s) Prednisolone. Other Medicine: Medicine Dose How long Directions
Pediatric Asthma Discharge Prescription and Short-Term Plan The doctor will fill out this form before your child is discharged. Please follow this plan until you see your usual doctor in 3 to 7 days. Hospital
More informationGetting Asthma treatment right. Dr David Cremonesini Specialist Pediatrician American Hospital
Getting Asthma treatment right Dr David Cremonesini Specialist Pediatrician American Hospital cdavid@ahdubai.com } Consultant Paediatrician from UK of 5.5 years } Speciality in Allergy / Asthma (PG Certificate)
More informationRespiratory Health. Asthma and COPD
Respiratory Health Asthma and COPD Definition of asthma Working definition by AAH 2014: Chronic lung disease Can be controlled not cured Large variation in lung function Large variation in respiratory
More informationSignificance. Asthma Definition. Focus on Asthma
Focus on Asthma (Relates to Chapter 29, Nursing Management: Obstructive Pulmonary Diseases, in the textbook) Asthma Definition Chronic inflammatory disorder of airways Causes airway hyperresponsiveness
More informationNew data from the Centers for Disease
MANAGEMENT OF ASTHMA IN THE UNITED STATES: WHERE DO WE STAND? William J. Calhoun, MD ABSTRACT One of the most common respiratory diseases, asthma has been extensively studied. With increases in knowledge
More informationControversial Issues in the Management of Childhood Asthma: Insights from NIH Asthma Network Studies
Controversial Issues in the Management of Childhood Asthma: Insights from NIH Asthma Network Studies Stanley J. Szefler, MD Helen Wohlberg and Herman Lambert Chair in Pharmacokinetics, Head, Pediatric
More informationGINA. At-A-Glance Asthma Management Reference. for adults, adolescents and children 6 11 years. Updated 2017
GINA At-A-Glance Asthma Management Reference for adults, adolescents and children 6 11 years Updated 2017 This resource should be used in conjunction with the Global Strategy for Asthma Management and
More informationImproving Outcomes in the Management & Treatment of Asthma. April 21, Spring Managed Care Forum
Improving Outcomes in the Management & Treatment of Asthma April 21, 2016 2016 Spring Managed Care Forum David M. Mannino, M.D. Professor Department of Preventive Medicine and Environmental Health University
More informationII: Moderate Worsening airflow limitations Dyspnea on exertion, cough, and sputum production; patient usually seeks medical
Table 3.1. Classification of COPD Severity Stage Pulmonary Function Test Findings Symptoms I: Mild Mild airflow limitations +/ Chronic cough and sputum production; patient unaware of abnormal FEV 1 80%
More informationAsthma Care in tribal Communities:
Asthma Care in tribal Communities: Addressing Challenges; Improving Care Sofia Ali, MD, MPH Goal Provide good asthma care Reduce burden of asthma in the Indian community Overview Scope of asthma Components
More informationASTHMA BEST PRACTICES FOR SCHOOL NURSES. School Nurses November 2015
ASTHMA BEST PRACTICES FOR SCHOOL NURSES School Nurses November 2015 1 BACKGROUND AND CURRENT STATS General definitions and explanations 2 Incidence of Asthma Centers for Disease Control (CDC) - 1 in 12
More informationVA/DoD Clinical Practice Guideline Management of COPD Pocket Guide
VA/DoD Clinical Practice Guideline Management of COPD Pocket Guide MODULE A: MAAGEMET OF COPD 1 2 Patient with suspected or confirmed COPD presents to primary care [ A ] See sidebar A Perform brief clinical
More informationAsthma Essentials: Keys to Best Practice in Asthma Care
39 th National Conference on Pediatric Health Care March 19-22, 2018 CHICAGO Disclosures Asthma Essentials: Keys to Best Practice in Asthma Care Tammy Rood has no relationship with any commercial firm
More informationAsthma Management in Pregnancy HEATHER HOWE, MD UNIVERSITY OF UTAH PULMONARY DIVISION
Asthma Management in Pregnancy HEATHER HOWE, MD UNIVERSITY OF UTAH PULMONARY DIVISION Asthma Management in Pregnancy Effects of asthma on pregnancy outcomes Effects of pregnancy on asthma control Management
More informationAsthma 2015: Establishing and Maintaining Control
Asthma 2015: Establishing and Maintaining Control Webinar for Michigan Center for Clinical Systems Improvement (Mi-CCSI) Karen Meyerson, MSN, APRN, NP-C, AE-C June 16, 2015 Asthma Prevalence Approx. 26
More informationPOCKET GUIDE FOR ASTHMA MANAGEMENT AND PREVENTION
POCKET GUIDE FOR ASTHMA MANAGEMENT AND PREVENTION (for Adults and Children Older than 5 Years) A Pocket Guide for Health Professionals Updated 2018 BASED ON THE GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND
More informationDisclosure. Case. Objectives. Case Continued. Inhalers. Asthma: A GINA Update to the NAEPP 2007 Guidelines 1/20/2015
Disclosure Asthma: A GINA Update to the NAEPP 2007 Guidelines Robert (RC) Hellinga, Pharm.D. PGY 1 Pharmacy Resident Wolfson Children s Hospital/Baptist Health I do not have a vested interest in or affiliation
More informationFoundations of Pharmacology
Pharmacologic Management of Asthma Objectives: 1. Review the physiological basis for asthma therapy 2. Discuss the differences between SABA and LABA 3. Discuss the role of inhaled and oral systemic corticosteroids
More informationAn Update on Allergic Rhinitis. Mike Levin Division of Asthma and Allergy Department of Paediatrics University of Cape Town Red Cross Hospital
An Update on Allergic Rhinitis Mike Levin Division of Asthma and Allergy Department of Paediatrics University of Cape Town Red Cross Hospital Allergic Rhinitis Common condition with increasing prevalence
More informationIvax Pharmaceuticals UK Sponsor Submission to the National Institute for Health and Clinical Excellence
Ivax Pharmaceuticals UK Sponsor Submission to the National Institute for Health and Clinical Excellence Clinical and cost-effectiveness of QVAR for the treatment of chronic asthma in adults and children
More informationManagement of Asthma in Adults and Children in the Primary Care Setting PRACTICE GUIDELINE
Management of Asthma in Adults and Children in the Primary Care Setting PRACTICE GUIDELINE Practice Guidelines: Guidelines are intended to be flexible. They serve as reference points or recommendations,
More informationMinimum Competencies for Asthma Care in Schools: School Nurse
Minimum Competencies for Asthma Care in Schools: School Nurse Area I. Pathophysiology 1. Explain using simple language and appropriate educational aids the following concepts: a. Normal lung anatomy and
More informationInhaler Confusion. Today s Speaker Dr. Randall Brown. Director of Asthma Programs 6/7/2016. Dr. Randall Brown March 31, 2016
+ Inhaler Confusion Dr. Randall Brown March 31, 2016 + Today s Speaker Dr. Randall Brown Director of Asthma Programs Center for Managing Chronic Disease University of Michigan 1 ASTHMA ESSENTIALS IN PRIMARY
More informationAsthma Clinical Guideline
These clinical guidelines are designed to assist clinicians by providing an analytical framework for the evaluation and treatment of patients. They are not intended to replace a clinician s judgment or
More informationDiagnosis, Evaluation and Management of Adults and Children with Asthma
Clinical Guideline for the Diagnosis, Evaluation and Management of Adults and Children with Asthma Color Key n Four Components of Asthma Care n Classifying Asthma Severity, Assessing Asthma Control and
More informationExpert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma Full Report 2007
Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma Full Report 2007 TARGET POPULATION Eligibility Inclusion Criterion Exclusion Criterion RECOMMENDATIONS Selecting Initial Therapy
More informationAsthma for Primary Care: Assessment, Control, and Long-Term Management
Asthma for Primary Care: Assessment, Control, and Long-Term Management Learning Objectives After participating in this educational activity, participants should be better able to: 1. Choose the optimal
More informationNational Institutes of Health (NIH) NAEPP 2007 Asthma Guideline UPDATE. Susan K. Ross RN, AE-C MDH Asthma Program.
National Institutes of Health (NIH) NAEPP 2007 Asthma Guideline UPDATE Susan K. Ross RN, AE-C MDH Asthma Program 651-201 201-5629 Susan.Ross@health.state.mn.us 1 National Institutes of Health National
More informationAsthma. Asthma Burden and Best Practices for Children with Asthma. Oregon Asthma Program
Asthma Asthma Burden and Best Practices for Children with Asthma Oregon Asthma Program What is Asthma Data Risk factors Best Practices: Guidelines-based self-management education Oregon Asthma Program
More informationAsthma: Classification, Management, Prevention and New Treatments
Asthma: Classification, Management, Prevention and New Treatments Cori Daines, MD, Professor Pediatric Pulmonary Medicine University of Arizona April 28, 2018 I have no relevant financial relationships
More informationSCREENING AND PREVENTION
These protocols are designed to implement standard guidelines, based on the best evidence, that provide a consistent clinical experience for AHC II Integrated Clinical Delivery Network patients and allow
More informationBUDESONIDE AND FORMOTEROL (SYMBICORT ): Α A REVIEW
Volume 23, Issue 3 December 2007 BUDESONIDE AND FORMOTEROL (SYMBICORT ): A REVIEW Donna L. Smith, Pharm. D. Candidate More than 22 million people in the United States have asthma according to the Centers
More informationAsthma in a Minute: Tool Kit for asthma self-management education
Asthma in a Minute: Tool Kit for asthma self-management education School Nurses can teach key asthma lessons, one minute at a time Dottie Bardon, BSN, MEd, RN, NCSN LaSalle Springs Middle School Rockwood
More informationOn completion of this chapter you should be able to: discuss the stepwise approach to the pharmacological management of asthma in children
7 Asthma Asthma is a common disease in children and its incidence has been increasing in recent years. Between 10-15% of children have been diagnosed with asthma. It is therefore a condition that pharmacists
More informationIntegrated Cardiopulmonary Pharmacology Third Edition
Integrated Cardiopulmonary Pharmacology Third Edition Chapter 13 Pharmacologic Management of Asthma, Chronic Bronchitis, and Emphysema Multimedia Directory Slide 7 Slide 12 Slide 60 COPD Video Passive
More informationObjectives. Asthma in Primary Care. Definition. Epidemiology. Pathophysiology
Objectives Asthma in Primary Care Jed Grant, PA-C Program Director, SJVC PA Program Staff PA, AMCH Emergency Department Apply the NAEPP guideline measures of severity and control including current impairment
More informationANTINEOPLASTIC DRUGS CHAPTER 21. Antineoplastic drugs - designed to treat malignancies, now also used to treat diseases with inflammatory component
ANTINEOPLASTIC DRUGS CHAPTER 21 Antineoplastic drugs - designed to treat malignancies, now also used to treat diseases with inflammatory component Tx of malignancies Antineoplastic drugs: methotrexate
More informationWorking Together to Better Manage Childhood Asthma
Working Together to Better Manage Childhood Asthma Bennie McWilliams, M.D. Howard Rosenblatt, M.D. Meena Ganesh, M.D. Chris Valmores, B.S.C.S.M., R.R.P.T. Carol Reagan, R.Ph. Johnny Smith Johnny is a 5
More informationAsthma Update: Clinical Aspects and
Article pulmonology Asthma Update: Clinical Aspects and Management Margaret F. Guill, MD* Objectives After completing this article, readers should be able to: 1. Discuss the treatment of children who have
More informationADULT ASTHMA GUIDE SUMMARY. This summary provides busy health professionals with key guidance for assessing and treating adult asthma.
ADULT ASTHMA GUIDE SUMMARY This summary provides busy health professionals with key guidance for assessing and treating adult asthma. Its source document Asthma and Respiratory Foundation NZ Adult Asthma
More informationPathology of Asthma Epidemiology
Asthma A Presentation on Asthma Management and Prevention What Is Asthma? A chronic disease of the airways that may cause Wheezing Breathlessness Chest tightness Nighttime or early morning coughing Pathology
More informationA multitude of devices
A multitude of devices Dr Andrew Scroop Respiratory Consultants 15 th September 2018 STEPWISE PHARMACOLOGICAL MANAGEMENT OF STABLE COPD COPD Inhalers MILD FEV 1 60 80% predicted few symptoms breathless
More informationSHORT ACTING BETA 2 AGONISTS (SABA) Lisa Romard, RN, MSN, CPNP, ANP, AE-C
SHORT ACTING BETA 2 AGONISTS (SABA) Lisa Romard, RN, MSN, CPNP, ANP, AE-C Short-acting Beta 2-agonists medications Albuterol ( Albuterol nebulizer solution, Accuneb, Proventil HFA, Ventolin HFA, ProAir
More informationMAYA RAMAGOPAL M.D. DIVISION OF PULMONOLOGY & CYSTIC FIBROSIS CENTER
MAYA RAMAGOPAL M.D. DIVISION OF PULMONOLOGY & CYSTIC FIBROSIS CENTER 16 year old female with h/o moderate persistent asthma presents to the ED after 6 hours of difficulty breathing, cough, and wheezing
More informationASTHMA IN THE PEDIATRIC POPULATION
ASTHMA IN THE PEDIATRIC POPULATION SEARCH Rotation 2 August 23, 2010 Objectives Define asthma as a chronic disease Discuss the morbidity of asthma in pediatrics Discuss a few things that a health center
More informationCurrent Asthma Management: Opportunities for a Nutrition-Based Intervention
Current Asthma Management: Opportunities for a Nutrition-Based Intervention Stanley J. Szefler, MD Approximately 22 million Americans, including 6 million children, have asthma. It is one of the most prevalent
More informationDrug Prior Authorization Guideline NUCALA (mepolizumab)
Drug Prior Authorization Guideline MB9914 Covered Service: Prior Authorization Required: Additional Information: Yes when meets criteria below Yes as shown below Restricted to Pulmonology, Allergy, and
More informationOffice Asthma Care: Practical Elements of Asthma Management. Learning Objectives. Diagnosis
Office Asthma Care: Practical Elements of Asthma Management Pri-Med West Annual Conference March 29, 2014 Anaheim, CA Sande Okelo, MD, PhD, University of California Los Angeles sokelo@mednet.ucla.edu www.uclahealth.org/pedspulmonology
More informationYour Inhaler Devices & You
1 Your Inhaler Devices & You COUNSEL ON THE APPROPRIATE USE OF A: METERED DOSE INHALER (MDI) DRY POWDER INHALER (DPI) DISCUSS THE APPROPRIATE USAGE OF A PEAK FLOW METER AND SPACER/HOLDING CHAMBER DEVICE
More informationPOCKET GUIDE FOR ASTHMA MANAGEMENT AND PREVENTION
POCKET GUIDE FOR ASTHMA MANAGEMENT AND PREVENTION (for Adults and Children Older than 5 Years) A Pocket Guide for Health Professionals Updated 2017 BASED ON THE GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND
More informationAsthma Management for the Athlete
Asthma Management for the Athlete Khanh Lai, MD Assistant Professor Division of Pediatric Pulmonary and Sleep Medicine University of Utah School of Medicine 2 nd Annual Sports Medicine Symposium: The Pediatric
More informationPOCKET GUIDE FOR ASTHMA MANAGEMENT AND PREVENTION
POCKET GUIDE FOR ASTHMA MANAGEMENT AND PREVENTION (for Adults and Children Older than 5 Years) A Pocket Guide for Physicians and Nurses Revised 2014 BASED ON THE GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND
More informationHealthPartners Care Coordination Clinical Care Planning and Resource Guide ASTHMA
The following evidence based guideline was used in developing this clinical care guide: National Institute of Health (NIH National Heart, Lung, and Blood Institute (NHLBI) and American Academy of Allergy,
More informationLearning the Asthma Guidelines by Case Studies
Learning the Asthma Guidelines by Case Studies Timothy Craig, DO Professor of Medicine and Pediatrics Distinguished Educator Penn State University Hershey Medical Center Objectives 1. Learn the Asthma
More informationHow to Use Inhaled Medications for Asthma and COPD
How to Use Inhaled Medications for Asthma and COPD This information is not intended to diagnose health problems or to take the place of medical advice or care you receive from your physician or other health
More informationAsthma By Mayo Clinic staff
MayoClinic.com reprints This single copy is for your personal, noncommercial use only. For permission to reprint multiple copies or to order presentation-ready copies for distribution, use the reprints
More informationMSRC AIR Course Karla Stoermer Grossman, MSA, BSN, RN, AE-C
MSRC AIR Course Karla Stoermer Grossman, MSA, BSN, RN, AE-C Explain the importance of objective measures in the management of asthma Explain the different types of objective measures used in the management
More informationChallenges in Meeting International Requirements for Clinical Bioequivalence of Inhaled Drug Products
Challenges in Meeting International Requirements for Clinical Bioequivalence of Inhaled Drug Products Tushar Shah, M.D. Sr. VP, Global Respiratory Research and Development TEVA Pharmaceuticals 1 Presentation
More informationManagement of Asthma in the United States: Where Do We Stand?
A/1 Management of Asthma in the United States: Where Do We Stand? MODULE A Advanced Studies in Medicine 1 A/2 Objectives To examine the state of care of asthma in the United States with reference to National
More informationMethods to Diagnose Adherence Status
Methods to Diagnose Adherence Status March 4, 2014 Andrew G Weinstein MD Associate Clinical Professor Pediatrics Jefferson Medical College President, Adherence Management Systems Disclosures President,
More informationbeclometasone 100 MDI 2 puffs twice a day (recently changed to non CFC (Clenil Modulite))
Case 1 Mr Thomson, a 32 year old asthmatic who is well known to you comes into your pharmacy. He is known to have a best peak flow of 640 L/min. He tells you that over the last few weeks he has been wakening
More informationAerospan (flunisolide)
STRENGTH DOSAGE FORM ROUTE GPID 80mcg/actuation HFA aerosol inhaler w/ Inhaled 35718 8.9 g/canister adapter MANUFACTURER Meda Pharmaceuticals INDICATION Aerospan Inhalation Aerosol is indicated for the
More informationAsthma Therapy 2017 JOSHUA S. JACOBS, M.D.
Asthma Therapy 2017 JOSHUA S. JACOBS, M.D. BACKGROUND-PREVALENCE Asthma is one of the most common chronic diseases worldwide with an estimated 300 million affected individuals Prevalence is increasing
More informationStep 2: Identify patients who were dispensed at least two consecutive fills for any asthma medication (Table ACT-A: Asthma
NATIONAL QUALITY FORUM Measure Submission and Evaluation Worksheet 5.0 This form contains the information submitted by measure developers/stewards, organized according to NQF s measure evaluation criteria
More informationInhaled bronchodilators relax constricted airways and treat the noisy part of asthma: coughing, wheezing, choking and shortness of breath.
Inhaled bronchodilators relax constricted airways and treat the noisy part of asthma: coughing, wheezing, choking and shortness of breath. AccuNeb inhalation 0.021% solution: 0.63mg/3mL 3-4 times solution
More informationChildren First Medical Group Physicians. Steven Yedlin, MD, Chief Medical Officer Medical Director. DATE: January 3, 2008
TO: FROM: Children First Medical Group Physicians Steven Yedlin, MD, Chief Medical Officer Medical Director DATE: January 3, 2008 RE: Asthma Clinical Practice Guideline Revision Children First Medical
More informationAsthma Management A Stepwise Approach. Objectives. Prevalence of Asthma. Increasing Globally. Costs. Disclosure - None 9/23/2013
Asthma Management A Stepwise Approach Disclosure - None Jane Cooper, RN, FNP- BC, CORLN University of Missouri Health Care Depart. of Otolaryngology Head and Neck Surgery Columbia, Missouri Objectives
More informationAsthma in Pregnancy. Asthma. Chronic Airway Inflammation. Objective Measures of Airflow. Peak exp. flow rate (PEFR)
Chronic Airway Inflammation Asthma in Pregnancy Robin Field, MD Maternal Fetal Medicine Kaiser Permanente San Francisco Asthma Chronic airway inflammation increased airway responsiveness to a variety of
More informationCurrent guidelines for the management of asthma in young children
Review pissn 2092-7355 eissn 2092-7363 Current guidelines for the management of asthma in young children Paul C Potter* Allergy Diagnostic & Clinical Research Unit, University of Cape Town Lung Institute,
More informationBreathe Easy: Ensuring Care Coordination for Patients with Asthma
Breathe Easy: Ensuring Care Coordination for Patients with Asthma Target Audience: Pharmacists ACPE#: 0202-0000-18-051-L01-P Activity Type: Application-based Disclosures Lauren E. Bode none Dennis Williams
More informationOne Year in the USA with Asthma. Asthma. The Burden of Asthma in the U.S. Asthma. Definition of Asthma. prevalence increasing at 5% per year
In the past year, Dr. Israel has been a Consultant or has performed Clinical Research for the following companies: Elliot Israel, M.D. Professor of Medicine Harvard Medical School Brigham & Women s Hospital
More informationA Guide for Students and Parents
A Guide for Students and Parents February 20, 2009 This program was made possible through an unrestricted grant from: Monaghan Medical Corporation, Lupin Pharmaceuticals Inc., and Forest Laboratories Inc.
More information