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Diagnosis of Asthma and Uncontrol Asthma Treatment - Dr. Sheetu Singh Visit Our Website for more infomation - www.drsheetusingh.com
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36 year old male with c/o cough and dyspnoea since 8 months, no response on bronchodilators Spirometry: FEVI/FVC= 0.63, FEV1= 36%
Symptoms suggestive of asthma & variable airflow obstruction Ruled out DD’s Diagnosis of Asthma is established Assess control of asthma Symptom control Risk of exacerbation
Ask 4 Qs (GINA Asthma control test) In past month, did you haveasthma related .. • Daytime symptoms: >twice/week • Extra dose of inhaler: >twice/week • Any night time waking • Any activity limitation Count yes None = Controlled Reduce the dose Any 1-2 = Partly Controlled Continue Many 3-4 = Uncontrolled Review & Increase
Uncontrolled DPI Formoterol + Budesunide 400 twice a day Mrs Sheela was very concerned about taking inhaled steroids