Asthma Muthiah P. Muthiah, MD, FCCP Associate Professor of Medicine Division of Pulmonary, Critical care & Sleep Medicine ...
Asthma <ul><li>At diagnosis: Intermittent / Persistent </li></ul><ul><li>At follow up:  </li></ul><ul><ul><li>Controlled <...
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 <ul><li>History of near-fatal asthma requiring intubation and mechanical ven...
Patients should immediately seek medical care if: <ul><li>The attack is severe: </li></ul><ul><ul><li>breathless at rest /...
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Asthma Gina 2006

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Asthma Gina 2006

  1. 1. Asthma Muthiah P. Muthiah, MD, FCCP Associate Professor of Medicine Division of Pulmonary, Critical care & Sleep Medicine UTHSC, Memphis
  2. 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. 3. GINA: Global Initiative for Asthma 2006
  4. 4. GINA: Global Initiative for Asthma 2006
  5. 5. GINA: Global Initiative for Asthma 2006
  6. 6. GINA: Global Initiative for Asthma 2006
  7. 7. GINA: Global Initiative for Asthma 2006
  8. 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. 9. Patients should immediately seek medical care if: <ul><li>The attack is severe: </li></ul><ul><ul><li>breathless at rest / RR > 30 per minute / Wheeze is loud or absent </li></ul></ul><ul><ul><li>PR 120/min PEF < 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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