Asthma - American Family Physician
Oct 1, 2020 - This collection features AFP content on asthma and related issues, including allergens, beta agonists, chronic cough, exercise-induced bronchoconstriction, inhalers, and wheezing. This collection features AFP content on asthma and related issues, including allergens, beta agonists, ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
- Other Resources from AAFP
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=3
Office Spirometry: Indications and Interpretation - American Family Physician
Mar 15, 2020 - High-quality, office-based spirometry provides diagnostic information as useful and reliable as testing performed in a pulmonary function laboratory. Spirometry may be used to monitor progression of lung disease and response to therapy. A stepwise approach to spirometry allows for ease ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p362.html
A Stepwise Approach to the Interpretation of Pulmonary Function Tests - American Family...
Mar 1, 2014 - Office-based pulmonary function testing, also known as spirometry, is a powerful tool for primary care physicians to diagnose and manage respiratory problems. An obstructive defect is indicated by a low forced expiratory volume in one second/forced vital capacity (FEV1/FVC) ratio, which...
American Family Physician : Article
https://www.aafp.org/afp/2014/0301/p359.html
Medications for Chronic Asthma - American Family Physician
Sep 15, 2016 - Chronic asthma is a major health concern for children and adults worldwide. The goal of treatment is to prevent symptoms by reducing airway inflammation and hyperreactivity. Step-up therapy for symptom control involves initiation with low-dose treatment and increasing intensity at ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0915/p454.html
Chronic Dyspnea: Diagnosis and Evaluation - American Family Physician
May 1, 2020 - Dyspnea is a symptom arising from a complex interplay of diseases and physiologic states and is commonly encountered in primary care. It is considered chronic if present for more than one month. As a symptom, dyspnea is a predictor for all-cause mortality. The likeliest causes of ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p542.html
Common Occupational Disorders: Asthma, COPD, Dermatitis, and Musculoskeletal Disorders ...
Jun 15, 2016 - An occupational illness is an event or exposure that occurs in the workplace that causes or contributes to a condition or worsens a preexisting condition. If an occupational disorder is suspected, a directed history should be taken with particular attention to establishing a temporal ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0615/p1000.html
Management of Acute Asthma Exacerbations - American Family Physician
Jul 1, 2011 - Asthma exacerbations can be classified as mild, moderate, severe, or life threatening. Criteria for exacerbation severity are based on symptoms and physical examination parameters, as well as lung function and oxygen saturation. In patients with a peak expiratory flow of 50 to 79 ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0701/p40.html
Asthma: Updated Diagnosis and Management Recommendations from GINA - Practice ...
Jun 15, 2020 - The latest update to the Global Initiative for Asthma (GINA) guidelines includes significant changes to treatment recommendations, especially a recommendation against using a short-acting beta2 agonists such as albuterol as sole therapy.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0615/p762.html
Evaluation of the Patient with Chronic Cough - American Family Physician
Oct 15, 2011 - Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks’ duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1015/p887.html
Overview of Changes to Asthma Guidelines: Diagnosis and Screening - American Family ...
May 1, 2009 - The Expert Panel Report 3 of the National Asthma Education and Prevention Program represents a major advance in the approach to asthma care by emphasizing the monitoring of clinically relevant aspects of care and the importance of planned primary care, and by providing patients ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0501/p761.html
An Approach to Interpreting Spirometry - American Family Physician
Mar 1, 2004 - Spirometry is a powerful tool that can be used to detect, follow, and manage patients with lung disorders. Technology advancements have made spirometry much more reliable and relatively simple to incorporate into a routine office visit. However, interpreting spirometry results can be ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0301/p1107.html
Intravenous Magnesium Sulfate for Acute Asthma Exacerbations - FPIN's Clinical ...
Jan 15, 2019 - Patients presenting to the emergency department with an acute asthma exacerbation that has not responded to first-line therapy (bronchodilators and corticosteroids) can be treated effectively with intravenous magnesium sulfate.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/0115/p127.html
Exercise-Induced Bronchoconstriction: Diagnosis and Management - American Family Physician
Aug 15, 2011 - Exercise-induced bronchoconstriction describes the narrowing of the airway that occurs with exercise. More than 10 percent of the general population and up to 90 percent of persons previously diagnosed with asthma have exercise-induced bronchoconstriction. Common symptoms include ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0815/p427.html
Effects of Inhaled Corticosteroids on Growth in Children with Persistent Asthma - ...
Oct 1, 2020 - Inhaled fluticasone (Flovent; 200 mcg per day) is associated with a greater linear growth velocity when compared with beclomethasone (400 mcg per day; an equivalent dose).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/1001/p404.html
Medical Therapy for Asthma: Updates from the NAEPP Guidelines - American Family Physician
Nov 15, 2010 - Proper care of patients with asthma involves the triad of systematic chronic care plans, self-management support, and appropriate medical therapy. Controller medications (inhaled corticosteroids, long-acting beta2 agonists, and leukot- riene receptor antagonists) are the foundation of ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1115/p1242.html
Fewer Severe Exacerbations in Patients with Mild to Moderate Asthma Treated with ...
Mar 1, 2020 - Patients with mild to moderate asthma only need relief treatment. In this study, patients taking the combination of budesonide/formoterol (Symbicort) as needed had slightly fewer severe exacerbations than patients treated with twice daily budesonide (Pulmicort).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p310.html
Dupilumab (Dupixent) for Asthma - STEPS - American Family Physician
Feb 15, 2020 - Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0215/p244.html
The Diagnosis of Wheezing in Children - American Family Physician
Apr 15, 2008 - Wheezing in children is a common problem encountered by family physicians. Approximately 25 to 30 percent of infants will have at least one wheezing episode, and nearly one half of children have a history of wheezing by six years of age. The most common causes of wheezing in children ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0415/p1109.html
As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...
Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646a.html
More Evidence Against Antibiotics for Acute Asthma Exacerbations - POEMs - American ...
Aug 1, 2019 - Antibiotics do not benefit patients hospitalized with an asthma exacerbation. Evidence from this study suggests worse outcomes with antibiotic use, including a longer hospital stay, higher costs, and greater risk of diarrhea.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0801/p185.html
Chronic Cough After Acute Viral Bronchiolitis: Suggestions from the ACCP - Practice ...
May 15, 2019 - To address the high prevalence of bronchiolitis, the effects of chronic cough on patients' quality of life, and adverse effects from inappropriate use of medications, an expert panel from the American College of Chest Physicians performed systematic reviews to develop several ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0515/p654.html
Single Maintenance and Reliever Therapy More Effective Than Inhaled Corticosteroids and...
Sep 15, 2018 - When compared with standard therapy (inhaled corticosteroids with or without LABAs and SABAs as relief therapy), SMART is associated with a reduced risk of acute asthma exacerbations in patients 12 years or older.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0915/p383.html
Leukotriene Inhibitors in the Treatment of Allergy and Asthma - American Family Physician
Jan 1, 2007 - Leukotriene inhibitors are the first new class of medications for the treatment of persistent asthma that have been approved by the U.S. Food and Drug Administration in more than two decades. They also have been approved for the treatment of allergic rhinitis. Prescriptions of ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0101/p65.html
LABA Plus Inhaled Corticosteroid Reduces Exacerbations, But Not Hospitalizations - ...
Jan 1, 2019 - Adding a LABA to an inhaled corticosteroid is safe but does not reduce the likelihood of a serious exacerbation requiring hospitalization. There is a small reduction in nonsevere asthma exacerbations, with one fewer exacerbation for every 53 patients treated for six months.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0101/p53.html
Long-Acting Muscarinic Antagonists plus Inhaled Steroids is Equal to Long-Acting ...
Oct 15, 2018 - Long-acting muscarinic antagonists added to inhaled corticosteroids are a superior treatment to placebo for improving asthma control in adults and children 12 years or older. Long-acting muscarinic antagonist add-on therapy is not superior to long-acting beta agonist (LABA) add-on therapy.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1015/od2.html
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