Purpose of Session
To
provide clinicians with an update on recent developments in asthma
medications
To
present new insights regarding treatment strategies, actions
and safety of different medications, and rationale for prophylaxis
To
review and discuss case studies of asthma medication use and
other treatment issues that are specific to the clinic
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Key Concept
Recognizing severity of symptoms, responding with an Appropriate Treatment Plan, and Helping the Family Comply with the Treatment Plan
These issues will be addressed through the session activity
that consists of three case presentations and the discussion
following each presentation.
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Handout 7-1 (Activity I)
NAEPP Guidelines (EPR - Update 2002)
The "Quick Reference" for the NAEPP Expert Panel
Report: Guidelines for the Diagnosis and Management of Asthma-Update
on Selected Topics 2002 is reprinted on the following pages.
This and the full report can also be accessed through the following
link:
http://www.nhlbi.nih.gov/guidelines/asthma/index.htm
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Handout 7-2 (Activity II)
Sample
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Handout 7-3 (Activity IV)
Case Presentation #1
During an office visit with a new patient, Mrs. Smith tells
you that every time her two-year-old daughter, Beverley, has
a cold, she has severe coughing and wheezing that lasts for two
or three weeks. She had approximately three to four such colds
in the last year; the most recent occurred a month ago. Beverley
does not have any symptoms now, but Mrs. Smith is worried and
asks you for help.
What
treatment plan would you recommend to Mrs. Smith for Beverley's
asthma?
What
do you think would be the greatest challenge in getting Mrs.
Smith to follow the treatment plan?
Case Presentation #2
Don Walker is six years old and coughs and wheezes several
times a week. The symptoms occur when he runs or is near a cat,
but are mild and usually subside within an hour. The Walker
family does not have any pets in their home. Mrs. Walker has
never had to take Don to the emergency room, but she tries to
keep him from running too much to prevent these symptoms.
What
treatment plan would you recommend to Mrs. Walker for Don's asthma?
What
do you think would be the greatest challenge in getting Mrs.
Walker to follow the treatment plan?
Case Presentation #3
Maria Cruz is 10 months old, and has repeated episodes of
wheezing and difficulty breathing. When you prescribe albuterol
syrup, her symptoms got better, but she was fussy, couldn't sleep,
and vomited. Mrs. Cruz is getting frustrated. You have already
completed an extensive work up and have ruled out other causes
for the breathing difficulties.
What
treatment plan would you recommend to Mrs. Cruz for Maria's asthma?
What
do you think would be the greatest challenge in getting Mrs.
Cruz to follow the treatment plan?
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