1. Clinical Management of Asthma Expert Panel Report 3 National Asthma Education and Prevention Program National Heart, Lung and Blood Institute, 2007 Source: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf

2. 2007 NAEPP EPR-3  Treatment recommendations based on:  Severity  Control  Responsiveness  Provide patient self-management education at multiple points of care  Reduce exposure to inhaled indoor allergens to control asthma- multifaceted approach Source: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf

3. What is GIP?  Guidelines Implementation Panel Report for Expert Panel Report 3  Recommendations and strategies to implement EPR-3  Six key messages Source: http://www.nhlbi.nih.gov/guidelines/asthma/gip_rpt.pdf

4. GIP’s Six Key Messages  Inhaled Corticosteroids  Asthma Action Plan  Asthma Severity  Asthma Control  Follow-up Visits  Allergen and Irritant Exposure Control Source: http://www.nhlbi.nih.gov/guidelines/asthma/gip_rpt.pdf

5. Diagnosing Asthma: Medical History  Symptoms  Coughing  Wheezing  Shortness of breath  Chest tightness  Symptom Patterns  Severity  Family History

6. Diagnosing Asthma  Troublesome cough, particularly at night  Awakened by coughing  Coughing or wheezing after physical activity  Breathing problems during particular seasons  Coughing, wheezing, or chest tightness after allergen exposure  Colds that last more than 10 days  Relief when medication is used

7. Diagnosing Asthma  Wheezing sounds during normal breathing  Hyperexpansion of the thorax  Increased nasal secretions or nasal polyps  Atopic dermatitis, eczema, or other allergic skin conditions

8. Diagnosing Asthma: Spirometry Test lung function when diagnosing asthma

9. Medications to Treat Asthma  Medications come in several forms.  Two major categories of medications are:  Long-term control  Quick relief

10. Medications to Treat Asthma: Long-Term Control  Taken daily over a long period of time  Used to reduce inflammation, relax airway muscles, and improve symptoms and lung function  Inhaled corticosteroids  Long-acting beta 2 -agonists  Leukotriene modifiers

11. Medications to Treat Asthma: Quick-Relief  Used in acute episodes  Generally short- acting beta 2 agonists

12. Medications to Treat Asthma: How to Use a Spray Inhaler The health-care provider should evaluate inhaler technique at each visit. Source: “What You and Your Family Can Do About Asthma” by the Global Initiative for Asthma Created and funded by NIH/NHLBI

13. Medications to Treat Asthma: Inhalers and Spacers Spacers can help patients who have difficulty with inhaler use and can reduce potential for adverse effects from medication.

14. Medications to Treat Asthma: Nebulizer  Machine produces a mist of the medication  Used for small children or for severe asthma episodes  No evidence that it is more effective than an inhaler used with a spacer