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Asthma Gina 2006 Presentation Transcript

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