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Your Asthma Control is Our Mission

Asthma Management Guidelines 2020 Focused Update: What’s In It For You?

Asthma Management Guidelines 2020 Focused Update: What’s In It For You?

Asthma Management Guidelines 2020 Focused Update: What’s In It For You?

* The National Institutes of Health, National Heart, Lung, and Blood Institute coordinated this update

* Recommendations were published on December 1, 2020.

* It Focuses on six areas:

….Fractional Exhaled Nitric Oxide Testing

….Indoor Allergen Mitigation

….Intermittent Inhaled Corticosteroids

….Immunotherapy in the Treatment of Allergic Asthma

….Bronchial Thermoplasty

* Only four of these six areas have immediate implications for asthma disease management in primary care.

* I’ll review the recommendations briefly here.

Major Points:

  • These guidelines are not as wide-ranging as those developed and released in 2007.
  • The new recommendations are based on reviews of the scientific literature and the use of the GRADE methodology for assigning a level of certainty (Low, Moderate, or High) for each recommendation.
  • Of the six areas, only numbers 2, 3, 5, & 6 have practical implications for primary asthma care.

 

Indoor Allergens: Pillow covers and mattress bags to seal in allergens are recommended if you have symptoms.  (Moderate Certainty)

Allergy Shots: SCIT (Subcutaneous Immunotherapy) is recommended for adults and children (>5 yr) with mild to moderate allergic asthma as long as they have lab or skin testing data to support the allergy. (Moderate Certainty).

Wheezing in Kids: Children from ages 0-4 yr with recurrent wheezing (3 x /year), triggered by colds and URI’s should have a short course (7-10 days) of inhaled corticosteroid at the onset of a new wheezing episode. (High Certainty).

In ages 4+ with moderate to severe-persistent asthma, a combination inhaler containing formoterol and steroid can be used as both a daily controller and as a rescue medicine. (Moderate to High Certainty).

In ages 12 + with mild persistent asthma, inhaled corticosteroids should be used daily, either along with rescue albuterol or in a combination inhaler that includes  albuterol. (Moderate Certainty).

In age 12 + yr with uncontrolled, persistent asthma, Long Acting Muscarinic Antagonist (LAMA) medicine can be added to Inhaled Corticosteroid (ICS) for better control. (Moderate Certainty).

I have devoted a full page to discuss how these recommendations will affect my asthma care plans in further detail.

If you have questions about asthma management or want to update your asthma action plan and medication prescriptions, grab an appointment and let’s talk!

Complete the subscription form on the right if you’d like to get an email when I post a new podcast and blog entry.

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#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

 

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Asthma Rescue Inhalers Are Crucial in Asthma Control!

* Rescue inhalers are essential * The albuterol in rescue inhalers opens breathing tubes quickly * If it doesn’t quickly improve your breathing, go to the ER * A spacer should be used with all liquid medicine inhalers * Generic albuterol is now available...

Do You Need an Asthma Controller Medication?

* Asthma controllers are medications that “control” the underlying inflammation in your breathing tubes. * Inhaled corticosteroids are the most common type of medicine used for this purpose. * In order for corticosteroids to work, they have to be inhaled...

What is an MDI Spacer and Why Do You Need One?

* A spacer is needed to hold your asthma medicine in a cloud until you can pull it into your lungs with a deep breath.

* If you don’t use a spacer with your asthma medicine, it ends up on tongue and on the walls of your throat where it can’t help your asthma and usually causes a yeast infection.

* Spacers should be used with all of your asthma medicine that comes in a metered dose inhaler (MDI).

* Medicine administered by a dry powder inhaler does not require a spacer since the design of the inhaler stirs and suspends the dry powder particles so they can be inhaled deeply.

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Asthma Control Test Score: How We Use It

Asthma Control Test Score: How We Use It

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms.

* Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled

* These classifications are used to determine what medications should be on your Asthma Action Plan.

* The ACT should be completed weekly to make sure we have the earliest sign that your asthma is flaring up.

* You can complete the ACT with my little helper Freddy assisting at the:  Asthmaniac Asthma Control Test page.

Breathing.  It can be easy.  When your asthma is not controlled, it is not.

All illnesses cause changes in you how you feel. These sensations are called symptoms.

For asthma, these symptoms are things like:

  • shortness of breath,
  • coughing,
  • chest tightness, and
  • audible wheezing.

In a chronic illness like asthma your lungs are constantly reacting to outside forces.

Viruses and allergens, smoke, pets – all can trigger symptoms.

These symptoms can change on a daily basis.

In asthma, doctors have learned that worsening of lung function can be predicted by having patients assign a “score” to their symptoms.

This scoring should be done at regular intervals and compared to periods when you are well.

The scoring system that I use for asthma symptoms is called the Asthma Control Test (ACT).

This system uses a form that allows you to assign a number score for five categories of your symptoms.

I ask my patients to do this several times a week and I teach them how to recognize a developing problem in their lungs.

Regular symptom assessment is standard in asthma disease management.

That’s why it’s in your Asthmaniac method!

Complete the subscription form on the left if you’d like to get an email when I post a new podcast and blog entry.

Thanks for learning more about asthma!

#asthmacontrolnow
#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

Subscribe

to get Asthma Updates!

Grow your asthma knowledge by getting these blog updates in your email!

Asthma Rescue Inhalers Are Crucial in Asthma Control!

* Rescue inhalers are essential * The albuterol in rescue inhalers opens breathing tubes quickly * If it doesn’t quickly improve your breathing, go to the ER * A spacer should be used with all liquid medicine inhalers * Generic albuterol is now available...

Do You Need an Asthma Controller Medication?

* Asthma controllers are medications that “control” the underlying inflammation in your breathing tubes. * Inhaled corticosteroids are the most common type of medicine used for this purpose. * In order for corticosteroids to work, they have to be inhaled...

What is an MDI Spacer and Why Do You Need One?

* A spacer is needed to hold your asthma medicine in a cloud until you can pull it into your lungs with a deep breath.

* If you don’t use a spacer with your asthma medicine, it ends up on tongue and on the walls of your throat where it can’t help your asthma and usually causes a yeast infection.

* Spacers should be used with all of your asthma medicine that comes in a metered dose inhaler (MDI).

* Medicine administered by a dry powder inhaler does not require a spacer since the design of the inhaler stirs and suspends the dry powder particles so they can be inhaled deeply.

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Phone Doctor Visits: They Work For Asthma Control!

Phone Doctor Visits: They Work For Asthma Control!

Phone Doctor Visits: They Work For Asthma Control!

*  Quality Asthma care depends on self-management by patients.

*  A large part of my role as your physician is teaching you these self-management skills.

*  Crucial to these skills are techniques you will use to assess:

*  Your Symptoms (Asthma Control Test)

*  Your Lung Function (Peak Expiratory Flow)

*  We will discuss your self-assessments by phone rather than in-person.

*  These phone visits and your frequent use of the Asthmaniac website are designed to keep your asthma controlled while avoiding illness exposure and the inconveience of travel and waiting rooms

 

I designed Asthmaniac around the National standards for asthma care.

Those standards tell doctors to teach their patients how to assess their everyday symptoms and lung lung capacity.

Years of research has led to the creation of a solid symptom assessment tool (Asthma Control Test or ACT).   This is a survey that you can complete yourself and then report to me.

Research has also shown that lung performance – or how well you are able to breath out (Peak Expiratory Flow or PEF), can be measured using a simple, pocket-sized flow meter.

In my Asthmaniac clinic, I ask that patients use a simple flowmeter to record their number several times each week.

I instruct you how to use this number in conjunction with your Action Plan.

I use this number in planning updates to your medications, their dosages, and your Action Plan.

The great thing about having these two proven methods of assessing your asthma is that we can conduct our entire asthma appointment over the phone.

Yes!

Over the phone!

That means you can get your Asthmaniac appointment on a lunch break, walking down the street, or wherever you are.

One place you won’t be is sitting?

A doctor office waiting room – waiting to catch a virus!

Phone appointments: a key convenience of Asthmaniac!

#asthmacontrolnow
#telemedicineasthmacare 
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

Subscribe

to get Asthma Updates!

Grow your asthma knowledge by getting these blog updates in your email!

Asthma Rescue Inhalers Are Crucial in Asthma Control!

* Rescue inhalers are essential * The albuterol in rescue inhalers opens breathing tubes quickly * If it doesn’t quickly improve your breathing, go to the ER * A spacer should be used with all liquid medicine inhalers * Generic albuterol is now available...

Do You Need an Asthma Controller Medication?

* Asthma controllers are medications that “control” the underlying inflammation in your breathing tubes. * Inhaled corticosteroids are the most common type of medicine used for this purpose. * In order for corticosteroids to work, they have to be inhaled...

What is an MDI Spacer and Why Do You Need One?

* A spacer is needed to hold your asthma medicine in a cloud until you can pull it into your lungs with a deep breath.

* If you don’t use a spacer with your asthma medicine, it ends up on tongue and on the walls of your throat where it can’t help your asthma and usually causes a yeast infection.

* Spacers should be used with all of your asthma medicine that comes in a metered dose inhaler (MDI).

* Medicine administered by a dry powder inhaler does not require a spacer since the design of the inhaler stirs and suspends the dry powder particles so they can be inhaled deeply.

Your Asthma Control Is Our Mission

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!