![]() Corticosteroid (inhaled, medium-dose) with as-needed beta 2-agonist (inhaled, short-acting) or.Corticosteroid (inhaled, low-dose) plus beta 2-agonist (inhaled, long-acting) with as-needed beta 2-agonist (inhaled, short-acting) or.Presence of risk factors for exacerbation.Presence of troublesome asthma symptoms most days or waking due to symptoms ≥1x/week.Likely adherence with daily corticosteroids (inhaled) can be considered.Corticosteroid (inhaled, low-dose) with as-needed beta 2-agonist (inhaled, short-acting) or as-needed corticosteroid (inhaled, low-dose) plus beta 2-agonist (inhaled, short-acting) 1.Is beta 2-agonist (inhaled, short-acting) can be considered Likely adherence with controller if reliever.Other options: Daily leukotriene modifier or corticosteroids (inhaled) whenever beta 2-agonist (inhaled, short-acting) is taken separately or in combination.Corticosteroid (inhaled, low-dose) with as-needed beta 2-agonist (inhaled, short-acting) or.Presence of asthma symptoms ≥2x/month but Corticosteroid (inhaled, low-dose) whenever beta 2-agonist (inhaled, short-acting) is taken separately or in combination 1.As-needed corticosteroid (inhaled, low-dose) plus Formoterol 1.Other options: Corticosteroid (inhaled) whenever beta 2-agonist (inhaled, short-acting) is taken separately or in combination.As-needed beta 2-agonist (inhaled, short-acting).Absence of risk factors for exacerbations.Symptoms occur Recommended Options for Initial Treatment Depends on patient's presenting symptoms, risk factors, comorbidities and treatment preference.After diagnosis of asthma is made, it is recommended to start corticosteroid (inhaled, low dose) as soon as possible for better outcomes.If patient’s asthma continues to deteriorate or suddenly worsens, consider transferring to an acute care facility.Degree of symptoms is generally a more sensitive predictor of early stages of asthma attack than PEF.Home PEF measurements may be part of the home management strategy.Degree of therapy administered at home will depend on the healthcare provider and the patient’s experience, availability of medicines and emergency care.Beginning therapy at home avoids delay in treatment along with giving the patient a sense of control over their asthma. ![]() Other strategies used include sputum-guided treatment and fractional concentration of exhaled nitric oxide.Involves a cycle of assessment, treatment and review of patient response.Treatment is continuously adjusted depending on patient’s response to therapy.Normal or near normal pulmonary function.Minimal or no need for reliever treatment.No limitations on activities, including exercise.Minimal or no daytime and nocturnal symptoms.Effective symptom control with minimal or no exacerbations.Management Plans for Long-term Asthma Control
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