Pitfalls of Asthma Management

Pitfalls of Management

Pitfalls	Remedies
Incorrect diagnosis	Proper history taking, thorough (COPD, LVF, other differential diagnosis) relevant investigations.
Inappropriate management plan	Evaluate scoring system for proper step care, proper step up/down.
Inadequate education	Establish patient education program. Don't give excessive message at a time, educate at every visit.
Improper inhalation technique	Demonstrate practically, observe patient performance repeatedly, give a handout describing the procedure.
Avoidance of spacer and nebulizer	Use of spacer gives optimum result from every puff, use nebulizer whenever necessary to control acute attacks.
Non-compliance of treatment	Drugs:antiinflammatory medicine works slowly, wait for at least 4-6 weeks for desired result before changing the drug. Dose: don't reduce or enhance the dose injudiciously.
Reluctance in using rescue therapy	Encourage and ensure use of increased dose of reliever medicine and oral prednisolone if needed.
Environmental hazards	Chalk out an effective trigger control plan.
Avoidance of spacer and nebulizer	Use of spacer gives optimum result from every puff, use nebulizer whenever necessary to control acute attacks.
Non-compliance of treatment	Drugs:antiinflammatory medicine works slowly, wait for at least 4-6 weeks for desired result before changing the drug. Dose: don't reduce or enhance the dose injudiciously.
Reluctance in using rescue therapy	Encourage and ensure use of increased dose of reliever medicine and oral prednisolone if needed.
Environmental hazards	Chalk out an effective trigger control plan.

See Also:

Home Management of Asthma

Step Care Management of Asthma

Emergency Management of Asthma

Hospital Based Care of Asthma

Concomitant Disease management of Asthma

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Topics:

• Disease and Treatment