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Clinical Tools

 

The following asthma guidelines are the product of a work-group of the Washington State Medical Association's Education and Research Foundation. They were done in collaboration with the American Lung Association® of Washington and the Washington State Department of Health. They largely represent the 2003 recommendations of the National Asthma Education and Prevention Program, the educational component of the National Heart, Lung and Blood Institute, a Division of the CDC. They are a key component of the Washington Asthma Initiative (WAI), a statewide coalition of individuals and organizations concerned about asthma prevention, diagnosis, and management.

 

Guidelines

Asthma - Guidelines for Diagnosis and Management (American Lung Association® of Washington)
  • Guideline #1  (modified 06-30-2005)
    1. Assessment and Monitoring: Diagnosis of Asthma
    2. Assessment and Monitoring: Classify Severity
  • Guideline #2  (modified 06-30-2005)
    1. Pharmacotherapy: Prescribe Meds According to Severity
    2. Pharmacotherapy: Doses for Long-Term-Control Meds
  • Guideline #3  (modified 06-30-2005)
    1. Pharmacotherapy: Key Points, Monitor Use of Beta-Agonist Drugs
    2. Ed for Partnership in Care: Routine Ed on Self-Management
  • Guideline #4  (modified 06-30-2005)
    1. Education for Partnership in Care: Written Asthma Management Plan
    2. Managing Exacerbations of Asthma: Key Points
    3. Identifying and Controlling Factors Contributing to Asthma Severity: Measure to Control Asthma Triggers
  • Guideline #5  (modified 06-30-2005)
    1. Assessment and Monitoring: Assess for Consultation with Specialty Care
    2. Identifying and Controlling Factors Contributing to Asthma Severity: Treatment and Prevention of Comorbid Conditions, Special Considerations for Infants, Risk Factors for Death from Asthma
  • Guideline #6  (modified 06-30-2005)
    1. Assessment and Monitoring: Schedule Routine Follow-up Care
    2. Guidelines for Diagnosis and Management: Asthma Flow Sheet
  • Guideline #7  (modified 06-30-2005)
    1. Managing Exacerbations of Asthma: Classifying Severity of Asthma Exacerbations
    2. Managing Exacerbations of Asthma: Acute Episode: Home/Office Treatments
  • Guideline #8  (modified 06-30-2005)
    1. Managing Exacerbations of Asthma: Emergency Department and Hospital-Based Care
    2. Managing Exacerbations of Asthma: Dosages of Drugs for Asthma Exacerbations in Emergency Medical Care or Hospital
Educational Information
  • Appendix H.2 Recommendations of Asthma Classification  (modified 01-04-2005)
    These recommendations are for use by clinicians to communicate levels of severity with school personnel for the purpose of designating whether a child has life-threatening asthma.

DISCLAIMER

Information in the Asthma Management in Educational Settings (AMES) notebook is provided as a courtesy by Children's Hospital and Regional Medical Center (CHRMC) and the American Lung Association® of Washington (ALAW) and their related organizations and is not intended to replace clinical judgment or individualized consultation with medical care providers. Persons accessing this information assume full responsibility for its use and understand and agree that CHRMC and the ALAW are not responsible or liable for any claim, loss or damage arising from use of the information. References to specific products, processes, resources, websites, or services do not constitute or imply recommendation or endorsement by CHRMC or ALAW. The views and opinions of the document authors do not necessarily state or reflect those of CHRMC or ALAW. The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor CHRMC nor ALAW nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from the use of such information. Readers are encouraged to confirm the information contained herein with other sources.

May 2004

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