Asthma Step Up Ladder

British guideline on the diagnosis and management of asthma.

Asthma step up ladder.

Every 2 6 weeks while gaining control every 1 6 months to monitor control every 3 months if step down in therapy is anticipated use of medications. Asthma is highly variable over time. Asthma causes sympt oms such as wheezing shortness of breath chest tightness and cough that vary over time in their occurrence. Re evaluate in 2 6 weeks.

This guidelines summary is part of a series of summaries of the british thoracic society scottish intercollegiate guidelines network guideline 158. Step up if needed first check inhaler technique adherence environmental control and comorbid conditions assess control step down if possible and asthma is well controlled for at least 3 months step 1 step 2 step 3 step 4 step 5 step 6 intermittent asthma persistent asthma. Step 1 occasional relief of symptoms as required inhaled short acting b 2 agonist given to all patients step 2 inhaled corticosteroid ics beclometasone or budesonide 200mcg twice daily if using qvar 100mcg twice daily step 3 long acting b 2 agonist laba formoterol 12mcg twice daily or salmeterol 50mcg twice daily 4 week trial. A stepwise step up if necessary and step down when possible approach to asthma management continues to be used in the current guidelines and is now divided into 3 groups based on age 0 4 y 5 11.

Step up if needed. Step up 1 step. Step down if possible. 32 glossary of asthma medication classes.

Re evaluate in 2 weeks. The 2019 update includes a complete revision of the section on monitoring asthma including new information on predicting future risk of asthma attacks and updates to the sections on pharmacological management of asthma supported self management non pharmacological management of asthma and management of acute asthma in adults and children. L u ng f ctio measures should be. This summary focuses on recommendations for the management of asthma in adults including diagnosis monitoring pharmacological management and management of acute asthma.

Consider short course oral corticosteroid. Determine if therapy should be adjusted.