By vgreene, 28 January, 2021 Consider short course PO steroids and step up 1 2 tx step s for very poorly controlled dz 1 1st review adherence inhaler technique environment control
By vgreene, 28 January, 2021 Every visit reinforce sx self monitoring action plan if hx of severe exacs include PO steroids inhaler device technique quick relief vs controller meds med adherence environment control based on sx related to exposure
By vgreene, 28 January, 2021 Then continue to F U q2 6wk while gaining control q1 6mo to monitor control q3mo if step down tx anticipated
By vgreene, 28 January, 2021 If persistent allergic asthma consider referral for immuno tx strongest evidence for single allergen tx evidence weak lacking for mold cockroach
By vgreene, 28 January, 2021 If clear benefit sustained 3mo consider step down to assess ongoing need for daily tx pts this age have high spontaneous remission rates
