By vgreene, 17 June, 2015 Consider short course PO steroids Step up 1 2 tx step s for very poorly controlled dz 1 1st review adherence inhaler technique environment control
By vgreene, 17 June, 2015 If persistent, allergic asthma: consider SC immuno-tx (strongest evidence for single-allergen tx; evidence weak/lacking for mold/cockroach)
By vgreene, 17 June, 2015 If alternative tx used, switch to preferred tx for current step. If side effects, consider alternative tx.
By vgreene, 17 June, 2015 Every visit: Reinforce self-monitoring (sx or peak flow), action plan, inhaler/device technique, quick-relief vs controller meds, med adherence, environment control