분야
pptxAsthma management
Revised 2010
Asthma Management and Prevention Program: Four Components
1. Develop patient/Doctor Partnership
2. Identify and Reduce Exposure to Risk Factors
3. Assess, Treat and Monitor Asthma
4. Manage Asthma Exacerbation
Goals for successful Management of asthma
Achieve and maintain control of symptoms
Maintain normal activity levels, including exercise
Maintain pulmonary function as close to normal levels as possible
Prevent asthma exacerbations
Avoid adverse effects from asthma medications
Prevent asthma mortality
Develop patient/doctor partner ship
환자 교육
Avoid risk factor
Take medications correctly
Understand the difference between ‘’controller’’ and ‘’reliever’’ medications
Monitor their status using symptom and PEF
Recognize sign that asthma is worsing and take action
Seek medical help as appropriate
Identify and reduce exposure to risk factors
Factors that Influence Asthma Development and Expression
Host Factors
Genetic
- Atopy
- Airway hyperresponsiveness
Obesity
sex
Environmental Factors
Indoor allergens
Outdoor allergens
Occupational sensitizers
Tobacco smoke
Air Pollution
Respiratory Infections
Diet
Identify and reduce exposure to risk factors
Exercise may lead to asthmatic symptoms but patients should not avoid exercise but use beta agonist as prophylaxis instead
Advice patient with moderate to severe asthma to have influenza vaccine every year
Identify and reduce exposure to risk factors
Avoidance that improve the control of asthma:
Tobacco smoke
Drugs, food and addictives
Occupational sensitizers
Reasonable avoidance measures can be recommended but have not been shown to have clinical benefit:
House dust mites, animals with fur, cockroaches, outdoor pollens and mild, indoor mold
Gina guideline 2010
Harrison 17th
NHLBI guideline
Update asthma management gina guideline : MD. sang heon cho
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Chest x-ray 정상 소견이고 ACE억제제 복용하지 않은 비흡연자에서 만성기침의 가장 흔한 원인은
다음 3가지다.
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