Asma

(for Adults and Children Older than 5 Years)

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A Pocket Guide for Physicians and Nurses

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Updated 2010

BASE D ON THE GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND PREVENTION

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POCKET GUIDE FOR ASTHMA MANAGEMENT AND PREVENTION

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Eric D. Bateman, M.D., South Africa, Chair Louis-PhilippeBoulet, M.D., Canada Alvaro Cruz, M.D., Brazil Mark FitzGerald, M.D., Canada Tari Haahtela, M.D., Finland Mark Levy, M.D., United Kingdom Paul O'Byrne, M.D., Canada Ken Ohta, M.D., Japan Pierluigi Paggario, M.D., Italy Soren Pedersen, M.D., Denmark Manuel Soto-Quiroz, M.D., Costa Rica Gary Wong, M.D., Hong Kong ROC

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© Global Initiative for Asthma This document is protected bycopyright. Permission to copy and distribute requires prior approval. Visit http://www.ginasthma.org for further information.

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Executive Committee (2010)

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GLOBAL INITIATIVE FOR ASTHMA
GINA Assembly (2010)
Louis-Philippe Boulet, MD, Canada, Chair

GINA Assembly members from 45 countries (names are listed on website: www.ginasthma.org)

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TABLE OF CONTENTS
PREFACE .......................................................................................2 WHAT IS KNOWN ABOUT ASTHMA?...........................................4 DIAGNOSING ASTHMA ..............................................................6 Figure 1. Is it Asthma? ........................................................6

Component2. Identify and Reduce Exposure to Risk Factors..11 Figure 4. Strategies for Avoiding Common Allergens and Pollutants ............................................................11 Component 3. Assess, Treat, and Monitor Asthma.................12 Figure 5. Management Approach Based on Control..............14 Figure 6. Estimated Equipotent Doses of InhaledGlucocorticosteroids.............................................15 Figure 7. Questions for Monitoring Asthma Care ..................17 Component 4. Manage Exacerbations.....................................18 Figure 8. Severity of Asthma Exacerbations ..........................21 SPECIAL CONSIDERATIONS IN MANAGING ASTHMA ..............22

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Appendix A: Glossary of Asthma Medications - Controllers....23Appendix B: Combination Medications for Asthma ................24 Appendix C: Glossary of Asthma Medications - Relievers......25

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Component 1. Develop Patient/Doctor Partnership..................9 Figure 3. Example of Contents of an Action Plan to Maintain Asthma Control....................................................10

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FOUR COMPONENTS OFASTHMA CARE .....................................9

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CLASSIFICATION OF ASTHMA BY LEVEL OF CONTROL ...............8 Figure 2. Levels of Asthma Control.........................................8

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The Global Initiative for Asthma program publications include:

• Pocket Guide for Asthma Management and Prevention for Adults and Children Older Than 5 Years (2010). Summaryof patient care information for primary health care professionals.

Publications are available from www.ginasthma.org.

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This Pocket Guide has been developed from the Global Strategy for Asthma Management and Prevention (Updated 2010). Technical discussions of asthma, evidence levels, and specific citations from the scientific literature are included in that source document. 2

py rig• What You and Your Family Can Do About Asthma. booklet for patients and their families.

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• Pocket Guide for Asthma Management and Prevention in Children 5 Years and Younger (2009). Summary of patient care information for pediatricians and other health care professionals. An information

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• Global Strategy for Asthma Management and Prevention GINA Executive Summary. Eur...