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Flashcards in Asthma - classification of severity & treatment Deck (19):
1

Asthma classification is based on what 5 factors?

S-N-A-I-L
Symptom occurrence, overall
Nighttime awakenings
Activities impacted
Inhaler usage (rescue)
Lung function

**SYMPTOMS and INHALER USE are the same values at each stage

ACTIVITY INTERFERENCE corresponds with asthma classification

2

Intermittent asthma features

S - symptoms 2 days or less/week
N - night awakening 2 nights or less/month
A - no activity limitation
I - inhaler use 2 days or less/week
L - FEV1 > 80%, normal between exacerbations

3

Mild persistent asthma features

S - symptoms > 2 days/week
N - night awakening 3 to 4 nights/month
A - mild limitation on activity
I - inhaler > 2 days per week
L - lung function FEV1 >80%

4

Moderate persistent asthma features

S - symptoms daily
N - night awakening > 1 night/week
A - moderate limitation on activity
I - inhaler daily
L - lung function FEV1 60 - 80%

5

Severe persistent asthma

S - symptoms throughout the day
N - night awakening every night
A - severe limitation on activity
I - inhaler throughout the day
L - lung function FEV1 <60%

6

Recommended step for starting treatment -
INTERMITTENT asthma

step 1

7

Recommended step for starting treatment -
MILD persisitent asthma

step 2

8

Recommended step for starting treatment -
MODERATE persistent asthma

step 3

9

Recommended step for starting treatment -
SEVERE persistent asthma

step 3 - 4 - or 5

10

Step 1 asthma treatment
all ages

SABA prn

11

Step 2 asthma treatment
all ages

SABA prn
+
< low dose ICS >

12

Step 3 asthma treatment
0-4 years old

SABA prn
+
< medium dose ICS >

13

Step 4 asthma treatment
0-4 years old

SABA prn
+
medium dose ICS
+
< LABA -or- montelukast >

14

Step 5 asthma treatment
0-4 years old

SABA prn
+
< high dose ICS >
+
LABA -or- montelukast

15

Step 6 asthma treatment
0-4 years old

SABA prn
+
high-dose ICS
+
LABA -or- montelukast
+
< oral corticosteroids >

16

Step 3 asthma treatment
5 years old and up

SABA prn
+
low-dose ICS
+
< LABA >

-or-

SABA prn
+
< medium-dose ICS >

17

Step 4 asthma treatment
5 years old and up

SABA prn
+
< medium-dose ICS >
+
LABA

18

Step 5 asthma treatment
5 years old and up

SABA prn
+
< high-dose ICS >
+
LABA

19

Step 6 asthma treatment
5 years old and up

SABA prn
+
high-dose ICS
+
LABA
+
oral corticosteroid