Diagnosis and Management of Asthma – Ages 5 and Up

1. Diagnosis and Management of Asthma – Ages 5 and Up INTEGRIS Health Partners Asthma Task Force

2. Patient presents with symptoms of asthma IHP - Asthma Outpatient Guidelines Establish diagnosis of asthma and determine level of severity. No Previous diagnosis of asthma? Does ED patient need ED or inpatient management? Yes See ED and Inpatient Management of Asthma algorithm Acute asthma exacerbation? Yes Assess severity of asthma exacerbation Yes No • Evaluation: • Medical history • Use of validated questionnaire • Assess asthma triggers/allergies • Physical Examination • Measure lung function • At a minimum, consider spirometry every 12 months • Consider specialty consultation No • Management of asthma exacerbation: • Beta₂ - agonists • Corticosteroids Determine level of asthma control Assess response to treatment Step care of pharmacologic treatment Does patient need ED or inpatient asthma management? Yes • Asthma Education: • Basic facts about asthma *Environmental control measures • How medications work *Emphasize need for regular follow- • Inhaler technique with spacer up visits • Written action plan based • on symptom diary No Schedule regular follow-up visits

3. Suggested Cost Effective Drugs in Treating Asthma Note: Each ● represents approximately $50 in cost. If a drug says “minimal”, it costs < $50. Cost is based on prescribed dose for 1 month.

4. Suggested Cost Effective Drugs in Treating Asthma Note: Each ● represents approximately $50 in cost. If a drug says “minimal”, it costs < $50. Cost is based on prescribed dose for 1 month.

5. Suggested Cost Effective Drugs in Treating Asthma Combination Inhalers Note: Each ● represents approximately $50 in cost. If a drug says “minimal”, it costs < $50. Cost is based on prescribed dose for 1 month.