By vgreene, 17 June, 2015 Every visit: Reinforce self-monitoring (sx or peak flow), action plan, inhaler/device technique, quick-relief vs controller meds, med adherence, environment control
By vgreene, 17 June, 2015 F/U q2–6wk to achieve control, then q1–6mo to monitor control, q3mo if step-down tx anticipated [D]
By vgreene, 17 June, 2015 If persistent, allergic asthma: consider SC immuno-tx (strongest evidence for single-allergen tx; evidence weak/lacking for mold/cockroach)
By vgreene, 17 June, 2015 If alternative tx used, switch to preferred tx for current step. If side effects, consider alternative tx
By vgreene, 17 June, 2015 Step up at least 1 tx step for not well controlled dz 1 1st review adherence inhaler technique environment control