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British Guideline on the Management of Asthma BTS/SIGN British Guideline on the Management of Asthma, May 2008. Introduction Diagnosis Non-pharmacological management Pharmacological management Inhaler devices Management of acute asthma Special situations
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British Guideline on the Management of Asthma BTS/SIGN British Guideline on the Management of Asthma, May 2008 • Introduction • Diagnosis • Non-pharmacological management • Pharmacological management • Inhaler devices • Management of acute asthma • Special situations • Organisation and delivery of care, and audit • Patient education and self-management • Development of the guideline
Stepwise management of asthma inchildren aged 5–12 yearsBTS/SIGN British Guideline on the Management of Asthma, May 2008
Stepwise management of asthma inchildren aged 5–12 yearsBTS/SIGN British Guideline on the Management of Asthma, May 2008
Stepwise management of asthma inchildrenunder 5 yearsBTS/SIGN British Guideline on the Management of Asthma, May 2008
Stepwise management of asthma inchildrenunder 5 yearsBTS/SIGN British Guideline on the Management of Asthma, May 2008
Stepping downBTS/SIGN British Guideline on the Management of Asthma, May 2008 “Reduction in inhaled steroid dose should be slow as patients deteriorate at different rates”.
Asthma – treatment summary • BTS/SIGN guidance is the basis for treatment • Use the RCP three questions to help assess control, not (just) PEFR and FEV1 • Start at step appropriate for patient’s asthma, and step down when control achieved and patient is stable • Safety issues and concerns regarding high-dose inhaled steroids and long-acting beta2-agonists