NR565 WK 6 Asthma 2

 

Asthma Treatment Algorithm:

To successfully treat asthma, you must first classify it and then be familiar with step therapy. For this assignment and in this course, we will focus on patients 12 years and older. Complete the blanks in the following table to create an algorithm for asthma care using your textbook as well as GINA guidelines .

Step	Asthma Classification	Asthma symptoms and frequency as noted in textbook	Controller and Preferred Reliever: (Drug Class and frequency if provided from GINA guidelines)	Controller and Alternative Reliever: (Drug Class and frequency if provided from GINA guidelines)
Step 1	Click or tap here to enter text.	Daytime symptoms	Click or tap here to enter text.	Drug class: Click or tap here to enter text. Frequency: Click or tap here to enter text.	Drug class: Click or tap here to enter text. Frequency: Click or tap here to enter text.
		Nighttime awakenings	Click or tap here to enter text.
Step 2	Click or tap here to enter text.	Daytime symptoms	Click or tap here to enter text.		Drug class: Click or tap here to enter text.
		Nighttime awakenings	Click or tap here to enter text.
Step 3	Click or tap here to enter text.	Daytime symptoms	Click or tap here to enter text.	Drug class: Click or tap here to enter text.	Drug class: Click or tap here to enter text.
		Nighttime awakenings	Click or tap here to enter text.
Step 4-5	Click or tap here to enter text.	Daytime symptoms	Click or tap here to enter text.	Step 4: Drug class: Click or tap here to enter text.	Drug class: Click or tap here to enter text.
		Nighttime awakenings	Click or tap here to enter text.	Step 5: Drug class: Click or tap here to enter text. Refer for: Click or tap here to enter text.	No change.

 

Starting treatment:

Complete this section using the GINA guidelines provided.

 

First Assess:

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1. Click or tap here to enter text.

 

Fill in the blank:

1. Using Click or tap here to enter text.as reliever reduces the risk of Click or tap here to enter text.compared with using a Click or tap here to enter text.reliever.

2. Before considering a regimen with a Click or tap here to enter text.reliever, check if the patient is likely to be adherent with Click or tap here to enter text..

 

Dosing: Low, Medium, High

Low dose ICS provides most of the clinical benefit for most patients. However, ICS responsiveness varies between patients, so some patients may need medium dose ICS if asthma is uncontrolled despite good adherence and correct inhaler technique with low dose ICS. High dose ICS is needed by very few patients, and its long-term use is associated with an increased risk of local and systemic side-effects.

Adults and adolescents Inhaled corticosteroid	Total daily (24 hour) ICS dose (mcg)
	Low	Medium	High
BDP (pMDI, HFA)	200-500	>500-1000	>1000
BDP (DPI or pMDI, extrafine particle, HFA)	100-200	>200-400	>400
Budesonide (DPI or PMDI, HFA)	Click or tap here to enter text.	Click or tap here to enter text.	Click or tap here to enter text.
Ciclesonide (pMDI, extrafine particle, HFA)	80-160	>160-320	>320
Fluticasone furoate	Click or tap here to enter text.	Click or tap here to enter text.
Fluticasone propionate (DPI)	Click or tap here to enter text.	Clic