Asthma Step Up Ladder

Re evaluate in 2 weeks.

Asthma step up ladder.

Every 2 6 weeks while gaining control every 1 6 months to monitor control every 3 months if step down in therapy is anticipated use of medications. Asthma causes sympt oms such as wheezing shortness of breath chest tightness and cough that vary over time in their occurrence. The 2019 update includes a complete revision of the section on monitoring asthma including new information on predicting future risk of asthma attacks and updates to the sections on pharmacological management of asthma supported self management non pharmacological management of asthma and management of acute asthma in adults and children. Follow up after an exacerbation.

Step down if possible. Asthma is highly variable over time. Consider short course oral corticosteroid. Determine if therapy should be adjusted.

L u ng f ctio measures should be. Re evaluate in 2 6 weeks. Some individuals with smaller lungs in relation to their heig t suc a a thin individual with narrow a p diameter to their chest may normally have fev1 80 and or fev1 fvc 85. Step up if needed.

British guideline on the diagnosis and management of asthma. 32 glossary of asthma medication classes. Step up if needed first check inhaler technique adherence environmental control and comorbid conditions assess control step down if possible and asthma is well controlled for at least 3 months step 1 step 2 step 3 step 4 step 5 step 6 intermittent asthma persistent asthma. This guidelines summary is part of a series of summaries of the british thoracic society scottish intercollegiate guidelines network guideline 158.

Step up 1 2 steps. A stepwise step up if necessary and step down when possible approach to asthma management continues to be used in the current guidelines and is now divided into 3 groups based on age 0 4 y 5 11.