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Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
Asthma Gina 2006
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Asthma Gina 2006

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  • 1. Asthma Muthiah P. Muthiah, MD, FCCP Associate Professor of Medicine Division of Pulmonary, Critical care & Sleep Medicine UTHSC, Memphis
  • 2. Asthma <ul><li>At diagnosis: Intermittent / Persistent </li></ul><ul><li>At follow up: </li></ul><ul><ul><li>Controlled </li></ul></ul><ul><ul><li>Partially controlled </li></ul></ul><ul><ul><li>Uncontrolled </li></ul></ul>
  • 3. GINA: Global Initiative for Asthma 2006
  • 4. GINA: Global Initiative for Asthma 2006
  • 5. GINA: Global Initiative for Asthma 2006
  • 6. GINA: Global Initiative for Asthma 2006
  • 7. GINA: Global Initiative for Asthma 2006
  • 8. Patients at high risk of asthma-related death <ul><li>History of near-fatal asthma requiring intubation and mechanical ventilation </li></ul><ul><li>H/O hospitalization or emergency visit for asthma within the past year </li></ul><ul><li>Currently using or have recently stopped using oral corticosteroids </li></ul><ul><li>Who are not currently using inhaled corticosteroids </li></ul><ul><li>Who use more than one canister of Albuterol monthly </li></ul><ul><li>With a history of psychiatric disease or psychosocial problems, including the use of sedatives </li></ul><ul><li>History of noncompliance with an asthma medication plan </li></ul>GINA: Global Initiative for Asthma 2006
  • 9. Patients should immediately seek medical care if: <ul><li>The attack is severe: </li></ul><ul><ul><li>breathless at rest / RR &gt; 30 per minute / Wheeze is loud or absent </li></ul></ul><ul><ul><li>PR 120/min PEF &lt; 60 percent of predicted or personal best, even after initial treatment / patient is exhausted </li></ul></ul><ul><li>The response to the initial bronchodilator treatment is not prompt and sustained for at least 3 hours </li></ul><ul><li>There is no improvement within 2 to 6 hours after oral corticosteroid treatment is started </li></ul><ul><li>There is further deterioration </li></ul>GINA: Global Initiative for Asthma 2006
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