2 minutes | Dec 14th 2020

2020 Focused Asthma Guidelines: What they mean for You! Asthma Management Guidelines 2020 Focused Update: What’s In It For You?

Asthma Management Guidelines 2020 Focused Update: What’s In It For You? * The National Institutes of Health, National Heart, Lung, and Blood Institute coordinated this update * Recommendations were published on December 1, 2020. * It Focuses on six areas: ….Fractional Exhaled Nitric Oxide Testing ….Indoor Allergen Mitigation ….Intermittent Inhaled Corticosteroids ….Immunotherapy in the Treatment of Allergic Asthma ….Bronchial Thermoplasty * Only four of these six areas have immediate implications for asthma disease management in primary care. * I’ll review the recommendations briefly here. Major Points: These guidelines are not as wide-ranging as those developed and released in 2007. The new recommendations are based on reviews of the scientific literature and the use of the GRADE methodology for assigning a level of certainty (Low, Moderate, or High) for each recommendation. Of the six areas, only numbers 2, 3, 5, & 6 have practical implications for primary asthma care. The full guidelines:  2020 Focused Updates to the Asthma Management Guidelines:… I have put together a quick-read summary of the recommendations.  I have only included recommendations that have moderate or high certainty of benefit for patients.   Indoor Allergens: Pillow covers and mattress bags to seal in allergens are recommended if you have symptoms.  (Moderate Certainty) Allergy Shots: SCIT (Subcutaneous Immunotherapy) is recommended for adults and children (>5 yr) with mild to moderate allergic asthma as long as they have lab or skin testing data to support the allergy. (Moderate Certainty). Wheezing in Kids: Children from ages 0-4 yr with recurrent wheezing (3 x /year), triggered by colds and URI’s should have a short course (7-10 days) of inhaled corticosteroid at the onset of a new wheezing episode. (High Certainty). In ages 4+ with moderate to severe-persistent asthma, a combination inhaler containing formoterol and steroid can be used as both a daily controller and as a rescue medicine. (Moderate to High Certainty). In ages 12 + with mild persistent asthma, inhaled corticosteroids should be used daily, either along with rescue albuterol or in a combination inhaler that includes  albuterol. (Moderate Certainty). In age 12 + yr with uncontrolled, persistent asthma, Long Acting Muscarinic Antagonist (LAMA) medicine can be added to Inhaled Corticosteroid (ICS) for better control. (Moderate Certainty). I have devoted a full page to discuss how these recommendations will affect my asthma care plans in further detail. If you have questions about asthma management or want to update your asthma action plan and medication prescriptions, grab an appointment and let’s talk! Complete the subscription form on the right if you’d like to get an email when I post a new podcast and blog entry. #asthmacontrolnow #telemedicineasthmacare #backpocketasthmadoc #asthmaactionplan #asthmacontroltest #asthmacontroller #rescueinhaler #asthmacovid19 #childrenandasthma #eprescription #easthma #peakexpiratoryflow #peakflowmeter #asthmaniac   How Will I Apply These Guidelines? Asthma Management Guidelines 2020 Focused Update: What’s In It For You? by TIMOTHY RYSCHON | December 14, 2020 | Action Plan, Control Your Asthma!, PEF, symptoms | 0 Comments* The National Institutes of Health, National Heart, Lung, and Blood Institute coordinated this update * Recommendations were published on December 1, 2020. * It Focuses on six areas: ....Fractional Exhaled Nitric Oxide Testing ....Indoor Allergen... Read More Asthmaniac Uses ePrescriptions for Your Medicine! by TIMOTHY RYSCHON | November 30, 2020 | Action Plan, Control Your Asthma!, PEF, symptoms | 0 Comments* Electronic prescriptions mean: ..More accuracy in the order,  ..More convenience for you, ..No paper to lose, and ..It’s FAST! * Asthmaniac sends all orders for prescription medication to the pharmacy of your choice.   Asthma is one disease that... Read More Asthma Rescue Inhalers Are Crucial in Asthma Control! by TIMOTHY RYSCHON | November 30, 2020 | rescue | 0 Comments * Rescue inhalers are essential * The albuterol in rescue inhalers opens breathing tubes quickly * If it doesn’t quickly improve your breathing, go to the ER * A spacer should be used with all liquid medicine inhalers * Generic albuterol is now available... Read More Do You Need an Asthma Controller Medication? by TIMOTHY RYSCHON | November 30, 2020 | controllers | 0 Comments* Asthma controllers are medications that “control” the underlying inflammation in your breathing tubes. * Inhaled corticosteroids are the most common type of medicine used for this purpose. * In order for corticosteroids to work, they have to be inhaled... Read More What is an MDI Spacer and Why Do You Need One? by TIMOTHY RYSCHON | November 17, 2020 | spacer | 0 Comments* A spacer is needed to hold your asthma medicine in a cloud until you can pull it into your lungs with a deep breath. * If you don’t use a spacer with your asthma medicine, it ends up on tongue and on the walls of your throat where it can’t help your... Read More Children and Asthma: Different from Adult Asthma? by TIMOTHY RYSCHON | November 17, 2020 | Control Your Asthma! | 0 Comments* Asthma is present in about 10% of children. * Asthma in children is diagnosed when your child has recurring episodes of wheezing that are relieved by rescue medicine such as albuterol * Asthma in children is treated with the same medicines and treatment... Read More Asthma and COVID19: Breathing Easy during a Pandemic by TIMOTHY RYSCHON | November 9, 2020 | Control Your Asthma! | 0 Comments* Asthma is a chronic disease that places you at higher risk of serious illness with COVID19 infection. * Keeping your asthma well controlled will give you the best protection against serious COVID19 illness. * Controlling your COVID19 exposure should be a... Read More Peak Expiratory Flow Rate: How We Measure and Why? by TIMOTHY RYSCHON | November 9, 2020 | PEF | 0 Comments* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under... Read More Asthma Action Plan: Personalized Just For You! by TIMOTHY RYSCHON | November 9, 2020 | Action Plan | 0 Comments* Your Asthma Action Plan is your quick-reference guide for how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and your ACT scores to determine if your asthma is in control. * Your Asthma Action Plan clearly... Read More Asthma Control Test Score: How We Use It by TIMOTHY RYSCHON | November 8, 2020 | symptoms | 0 Comments* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used... Read More Asthma Management Guidelines 2020 Focused Update: What’s In It For You?Asthmaniac Uses ePrescriptions for Your Medicine!Asthma Rescue Inhalers Are Crucial in Asthma Control!Do You Need an Asthma Controller Medication?What is an MDI Spacer and Why Do You Need One?Children and Asthma: Different from Adult Asthma?Asthma and COVID19: Breathing Easy during a PandemicPeak Expiratory Flow Rate: How We Measure and Why?Asthma Action Plan: Personalized Just For You!Asthma Control Test Score: How We Use It Asthma Management Guidelines 2020 Focused Update: What’s In It For You? Dec 14, 2020 | Action Plan, Control Your Asthma!, PEF, symptoms* The National Institutes of Health, National Heart, Lung, and Blood Institute coordinated this update * Recommendations were published on December 1, 2020. * It Focuses on six areas: ....Fractional Exhaled Nitric Oxide Testing ....Indoor Allergen... Asthmaniac Uses ePrescriptions for Your Medicine! Nov 30, 2020 | Action Plan, Control Your Asthma!, PEF, symptoms* Electronic prescriptions mean: ..More accuracy in the order,  ..More convenience for you, ..No paper to lose, and ..It’s FAST! * Asthmaniac sends all orders for prescription medication to the pharmacy of your choice.   Asthma is one disease that... Asthma Rescue Inhalers Are Crucial in Asthma Control! Nov 30, 2020 | rescue * Rescue inhalers are essential * The albuterol in rescue inhalers opens breathing tubes quickly * If it doesn’t quickly improve your breathing, go to the ER * A spacer should be used with all liquid medicine inhalers * Generic albuterol is now available... Do You Need an Asthma Controller Medication? Nov 30, 2020 | controllers* Asthma controllers are medications that “control” the underlying inflammation in your breathing tubes. * Inhaled corticosteroids are the most common type of medicine used for this purpose. * In order for corticosteroids to work, they have to be inhaled... What is an MDI Spacer and Why Do You Need One? Nov 17, 2020 | spacer* A spacer is needed to hold your asthma medicine in a cloud until you can pull it into your lungs with a deep breath. * If you don’t use a spacer with your asthma medicine, it ends up on tongue and on the walls of your throat where it can’t help your... Children and Asthma: Different from Adult Asthma? Nov 17, 2020 | Control Your Asthma!* Asthma is present in about 10% of children. * Asthma in children is diagnosed when your child has recurring episodes of wheezing that are relieved by rescue medicine such as albuterol * Asthma in children is treated with the same medicines and treatment... « Older Entries Your Asthma Control Is Our Mission  Same Day Appointments are Available.  970-744-6910  info@asthmaniac.com  Los Angeles, Fort Collins, Pensacola Book an Appointment Today! FollowFollowFollowFollow
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