Asthma

1. Assessment

1.1. asthma control

1.1.1. Sx control

1.1.1.1. Freq of daytime, nightime Sx

1.1.1.2. Freq of reliever use

1.1.1.3. Activity limitation

1.1.2. Future risk

1.1.2.1. Hx of >= 1 exacerbations in the previous year

1.1.2.2. Ever intubated or in ICU for asthma

1.1.2.3. Uncontrolled asthma

1.1.2.4. High SABA use

1.1.2.5. inadequate ICS

1.1.2.5.1. poor adherence

1.1.2.5.2. incorrect inhaler technique

1.1.2.6. Ongoing exposure to allergen or irritant agents / smoking

1.1.2.7. Comorbidities

1.1.2.8. Major psychological or socioeconomic problems

1.1.2.9. pregnancy

1.1.2.10. Low PEFR, esp if < 60% predicted

1.1.2.11. sputum or blood eosinophilia

2. Risk

2.1. develop fixed airflow limitation

2.2. medication SEs

3. Asthma Severity

3.1. Mild / Moderate / Severe

3.2. Well controlled / Uncontrolled

4. Lung sounds - Breath sounds Types & Causes

5. Medications

5.1. Quick relievers

5.1.1. SABAs

5.1.2. SAMAs

5.1.3. Systemic corticosteroids

5.2. Long term controllers

5.2.1. ICS

5.2.2. LABA

5.2.3. LAMA

5.2.4. LTRA

5.2.5. theophylline SR

5.2.6. Immunomodulators