Chronic asthma management

Question 1

What is the general measure advice that should be given?

Answer 1

TAME

• T : technique of using inhaler
• A : avoid allergens
• M : monitor using peak flow diary
• Educate : specialised nurse/need for compliance etc

Question 2

What is the first step of Mx?

Answer 2

1. SABA prn

if more than 3x a week - scale up

Question 3

What is the second step of Mx?

Answer 3

SABA prn +

• # Low dose ICS - 400mg of beclomethosone

Question 4

What is the third step of Mx?

Answer 4

SABA prn +

Low dose* ICS +

#LABA
(consider medium dose ICS with LABA if not controlled)

Question 5

What is the fourth step of Mx?

Answer 5

Leukotriene receptor anatagonist

SABA prn

Medium dose ICS

LABA

Question 6

What is the fifth step of Mx?

Answer 6

High dose ICS and LABA

Question 7

What is the sixth step of Mx?

Answer 7

High dose ICS + LABA + oral corticosteroid tablet