Asthma

Question 1

Step 1 
Intermittent asthma 
Symptoms 2 or less days a week 
Wake up 2 or less nights 
SABA use 2 or less x/week
No interference with activity 
Normal FEV between exacerbations >80% predicted FEV1/FEV normal 

treatment

Answer 1

SABA PRN

Question 2

Step 2
More than 2 days/week
Night awakening 3-4x/month
SABA use more than 2days/wk but not more than 1 x daily
Minor limitation with normal activity
Lung function FEV greater or equal to 80% predicted and FEV1/FEV normal

2or more times per year exacerbations requiring oral systemic corticosteroids

treatment

Answer 2

Low dose ICS

Question 3

Step 3
Symptoms daily
Awaken greater than 1x per week but not nightly
SABA use for symptom control is
Interference with Normal activity has some limitations
Lung function: FEV > 60% bit <80 % predicted FEV1/FEV reduced 5%

Exacerbations requiring oral systemic corticosteroids 2 or more times per year

treatment

Answer 3

Low dose ICS + LABA
Or
Medium dose ICS

Question 4

Step 4 treatment

Answer 4

Medium dose ICS + LABA

Question 5

Step 5 treatment

Answer 5

High dose ICS + LABA

Question 6

Step 6

Answer 6

High dose ICS + LABA + oral corticosteroid and consider Omalizumab for patients with allergies