Asthma

Question 1

X

Answer 1

X

Question 2

X

Answer 2

X

Question 3

X

Answer 3

X

Question 4

X

Answer 4

X

Question 5

X

Answer 5

X

Question 6

X

Answer 6

X

Question 7

X

Answer 7

X

Question 8

X

Answer 8

X

Question 9

X

Answer 9

X

Question 10

X

Answer 10

X

Question 11

step 1 management of asthma ?

Answer 11

1
Newly-diagnosed asthma
Short-acting beta agonist (SABA)

salbutamol inhaler (100mcg)

Question 12

step 2 management of asthma / Newly-diagnosed asthma with symptoms >= 3 / week or night-time waking

Answer 12

Not controlled on previous step
Newly-diagnosed asthma with symptoms >= 3 / week or night-time waking

SABA + low-dose inhaled corticosteroid (ICS)

salbutamol inhaler (100mcg)
+
inhaled beclomethasone 200mcg BD

Question 13

step 3 management of asthma

Answer 13

SABA + low-dose inhaled corticosteroid (ICS) + leukotriene receptor antagonist (LTRA)

Question 14

step 4 management of asthma

Answer 14

SABA + low-dose ICS + long-acting beta agonist (LABA)

Continue LTRA depending on patient’s response to LTRA

Question 15

step 5 management of asthma

Answer 15

SABA +/- LTRA
+
maintenance and reliever therapy (MART ICS and fast acting LABA),
Symbicort - budesonide and formeterol

Question 16

step 6 management ?

Answer 16

SABA +/- LTRA + medium-dose ICS MART

OR consider changing back to a fixed-dose of a moderate-dose ICS and a separate LABA

Question 17

step 7 management ?

Answer 17

SABA +/- LTRA
+
one of the following options:

increase ICS to high-dose (only as part of a fixed-dose regime, not as a MART)
/
a trial of an additional drug (for example, a long-acting muscarinic receptor antagonist or theophylline)
/
seeking advice from a healthcare professional with expertise in asthma

Question 18

budesonide dose?

Answer 18

= 400 micrograms budesonide or equivalent = low dose

400 micrograms - 800 micrograms budesonide or equivalent = moderate dose

> 800 micrograms budesonide or equivalent= high dose