Complexity of Asthma Management

4 classes of

mild intermittent
mild persistent
moderate persistent
sever persistent

Depends

on 8

variables

2 levels

of control

Optimal

Sub-optimal

Most appropriate of 4 treatment “Steps”

2 Age

groups

ɝ years

ɱ years

PEF variability

FEV1,PEF% predicted

Nighttime symptoms

Daily use of Inhaled short-acting B2

Shortness of Breath

Chest tightness

Wheezing

Cough

Reduction in school/play activities

Missed school days

Change in

caregiver activities

Coughing Wheezing

Nighttime symptoms

frequency

Daily or > use of inhaled

short-acting B2

Chest tightness

Exacerbation frequency

>= 2x/week

PEFR variability (diurnal)

or pre/post bronchodilator

FEV1, PEF (% Predicted)

or (% Personal Best)

Shortness of breath

Depends

on 11

variables

Previous slide Next slide Back to first slide View graphic version