By vgreene, 14 September, 2015 F/U in 2-6 wks while gaining control, q1–6mo to monitor control; consider 3-mo f/u if step-down in tx anticipated [D]
By vgreene, 14 September, 2015 Tx EIB in light of overall asthma control; EIB/poor endurance can indicate poorly controlled, persistent asthma warranting initiation/step-up of long-term control tx;1 educate, f/u
By vgreene, 14 September, 2015 Start/increase long-term control tx [A] if sx not well-controlled.5 For pts frequently using SABA, anti-inflammatory tx should be initiated/intensified. If sx occur during usual activities, step up long-term tx
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]
By vgreene, 14 September, 2015 SABA 1st line for EIB2,3 [A] (albuterol, levalbuterol):4 2 puffs 5 min before (or as close as possible to) exercise; LABA use discouraged for EIB