Pediagogy™

Pediagogy™


Asthma

April 05, 2022

Learn about asthma management in the outpatient and acute setting including 2020 NIH guideline changes. 

 

Follow us on Twitter @Pediagogypod 

 

This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Rory Kamerman-Kretzmer, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation. 


Key points: 

-Ask about common triggers for asthma like smoke or allergens as well as medication adherence 

-Asthma is a clinical diagnosis but ancillary tests like PFTs may help 

-Symptom frequency and severity can help you classify the asthma as intermittent versus persistent 

-Learn about controller/maintenance therapy, including the new SMART therapy 

-Learn about steroid use for acute exacerbations as well as next line medications like magnesium, ipratropium, and epinephrine 

 

Supplemental information: 

NIH 2020 guideline updates: https://pediatrics.aappublications.org/content/147/6/e2021050286 

Peds in review 2019: https://pedsinreview.aappublications.org/content/40/11/549 

Asthma control test: https://www.greenhillspeds.com/wp-content/uploads/2015/12/Asthma-Control-Test-4-to-11-years.pdf  

GINA 2020 Pocket Guide: https://ginasthma.org/wp-content/uploads/2020/04/Main-pocket-guide_2020_04_03-final-wms.pdf 

NIH Guidelines 2007: https://www.nhlbi.nih.gov/health-topics/guidelines-for-diagnosis-management-of-asthma  

JAMA 2021 guideline update summary: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2780356