(WEEK 6)
Asthma Case Study
Advanced Pharmacology Fundamentals
, NR565 WK 6 Asthma 1
Asthma Treatment Algorithm:
To successfully treat asthma, you must first classify it and then be familiar with step therapy. For this assignment and in this course,
we will focus on patients 12 years and older. Complete the blanks in the following table to create an algorithm for asthma care using
your textbook as well as GINA guidelines .
Step Asthma Asthma symptoms and frequency as Controller and Preferred Controller and Alternative
Classificatio noted in textbook Reliever: Reliever:
n (Drug Class and frequency if (Drug Class and frequency if
provided from GINA guidelines) provided from GINA guidelines)
Daytime
2 days a week or less Drug class: take ICS (inhaled
symptoms
corticosteroids) whenever SABA
Step 1 Intermittent
Nighttime Drug class: low dose ICS- (short acting beta agonist) taken
2 times/month or less
awakenings formoterol Frequency: PRN
Frequency: PRN
Daytime More than 2 days a week
symptoms but less than daily
Drug class: low dose maintenance
Step 2 Mild persistent
Nighttime ICS
3-4 times/ month
awakenings
Daytime
Daily
symptoms
Drug class: Drug class: Low dose maintenance
Moderate Low dose maintenance ICS- ICS and LABA (long acting beta
Step 3
persistent Nighttime More than once a week formoterol agonist)
awakenings but less than nightly
Step Severe Step 4: Drug class: medium-high dose
4-5 persistent Daytime Drug class: medium dose
Several times daily ICS- LABA
symptoms maintence ICS-formoterol
Nighttime Often nightly Step 5: No change.
awakenings Drug class: high dose ICS-
formoterol, add on LAMA (long-
actig muscarininc antagonist)
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