130 likes | 285 Views
CASE STUDIES. Presented by : (speaker info). Clinical Assessment. Is it Asthma?—Consider other etiologies and co-morbidities. Is it Persistent? (vs Intermittent) Level of Severity—for “virgin” asthma—Intermittent, Mild Persistent, Moderate Persistent, Severe Persistent.
E N D
CASE STUDIES • Presented by: • (speaker info)
Clinical Assessment • Is it Asthma?—Consider other etiologies and co-morbidities. • Is it Persistent? (vs Intermittent) • Level of Severity—for “virgin” asthma—Intermittent, Mild Persistent, Moderate Persistent, Severe Persistent. • How well controlled?—(Controlled, Partly Controlled, Uncontrolled)
Asthma Action Plan • Controller(s)—for asthma and for co-moridities …perhaps. • Relievers • Environmental Changes • Monitoring—what kind? PF? Symptoms only? When to see or call again? • Other things you’d consider, such as educational issues, cultural, financial, etc.
Asthma Control in Pre-School Kids • 4 or more episodes of wheezing in the past year that lasted > 1 day and affected sleep and • Parental hx of asthma or • Atopic dermatitis
Two of the following • Sensitization to foods • >4% eosinophilia • Wheezing apart from colds
Pre-School Kids • Consider asthma control for • Symptomatic > 2 days/wk for > 4 wks, or • 2 exacerbations needing systemic steroids within 6 months. • Consider ICS during “bad” seasons only