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post in: Health, News Date:21 Nov 2017, 10:40 views:615
In collaboration with the Centers for exercise Disease Control and Prevention (CDC the National Asthma Education and Prevention Program (naepp) has published an update of their guidelines on diagnosing and managing asthma.
The report identifies a set of 10 clinical activities for reducing symptoms and preventing exacerbations in patients with asthma. These key activities correspond to the four recommended-as-essential components of asthma management: assessment and monitoring, control of factors contributing to asthma severity, pharmacotherapy, and education for a partnership in care.
The clinical elements are intended as long-term preventive aspects of managing asthma, not acute or hospital management. The full update is available in the November 2002 issue of the Journal of Allergy and Clinical Immunology and.
Assessment and Monitoring, key Clinical Activity. For symptomatic adults and children five years and older who can perform spirometry, asthma can be diagnosed after a medical history and physical examination documenting an episodic pattern of respiratory symptoms, and from spirometry that indicates partially reversible airflow obstruction. Alternative diagnoses of symptoms that suggest asthma, including conditions affecting the upper and lower airways, should be ruled out and may require additional tests.
For infants and children younger than five years, the diagnostic steps are the same except for spirometry, which is not feasible in this age group. Medical histories and physical examinations should be expanded to look for factors associated with the development of chronic persistent asthma: more than three episodes of wheezing in the past year that lasted more than one day and affected sleep, and parental history of asthma.
Key Clinical Activity. Classify Severity of Asthma. Signs and symptoms must be classified at the initial and all following visits because patients experience varied signs and symptoms.
Initially and before treatment has been optimized, clinical signs, symptoms, and peak flow monitoring or spirometry are used to classify severity. After the condition is stable, severity is then classified according to the level of medication required to maintain treatment goals ( see accompanying table ).