By vgreene, 14 September, 2015 Educate: Sx, meds, inhaler technique, environmental control,12 comorbidity13 mgmt [B]
By vgreene, 14 September, 2015 Regular SABA use >2 days/wk for sx control (not to prevent EIB), increasing use, or lack of expected effect indicates inadequate control
By vgreene, 14 September, 2015 F/U in 2-6 wks while gaining control, q1-6mo to monitor control [D]. Monitor for sx +/- ↓PEF outside of exercise, as EIB often indicates inadequate asthma mgmt; frequent, severe EIB may indicate need to start/increase daily, long-term control tx11
By vgreene, 14 September, 2015 Exercise challenge<sup>8</sup> can establish dx, in lab or usual exercise setting. Hx alone may under/over-dx EIB. Vocal cord dysfxn<sup>9</sup> often mimics asthma or may coexist w/ EIB
By vgreene, 14 September, 2015 Warm-up pre-exercise; mask/scarf over mouth may attenuate cold-induced EIB [C]. Avoid outdoor exercise when air pollution high, if possible [C]