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Asthma Gina 2006
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Asthma Gina 2006

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    Asthma Gina 2006 Asthma Gina 2006 Presentation Transcript

    • Asthma Muthiah P. Muthiah, MD, FCCP Associate Professor of Medicine Division of Pulmonary, Critical care & Sleep Medicine UTHSC, Memphis
    • Asthma
      • At diagnosis: Intermittent / Persistent
      • At follow up:
        • Controlled
        • Partially controlled
        • Uncontrolled
    • GINA: Global Initiative for Asthma 2006
    • GINA: Global Initiative for Asthma 2006
    • GINA: Global Initiative for Asthma 2006
    • GINA: Global Initiative for Asthma 2006
    • GINA: Global Initiative for Asthma 2006
    • 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
    • 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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