Diagnosis Symptoms + Spirometry findings Confirming diagnosis with spirometry for patients >6 y.o is an important step in management Children (6-11 y.o.) Adults (>12 y.o.) Reduced FEV1/FVC < 0.8 <0.75 AND AND AND post-bronchodilator ↑FEV1 ≥12% ≥12% Triggers Environmental irritants Animal fur Cold air Exercise URTIs Cigarette smoke B-Blockers/ASA Management Self-management education Written action plan (see CTS reference below, Table 5 for action plan recommendations) Pharmacological management CHILDREN (6 y.o.-11 y.o.) MAINTENANCE RELIEVER No maintenance therapy needed (mild, intermittent asthma) Low dose ICS (Budesonide ≤400mcg, Fluticasone ≤200mcg) SABA PRN Medium dose ICS (Budesonide 400-800 mcg, Fluticasone 200-400 mcg) Add LABA or LTRA + Consider specialist referral ADULTS (>12 y.o.) MAINTENANCE RELIEVER No maintenance therapy needed (mild, SABA PRN intermittent asthma) Low dose ICS (Budesonide ≤400mcg, SABA PRN Fluticasone ≤250mcg)
Diagnosis Symptoms + Spirometry findings Confirming diagnosis with spirometry for patients >6 y.o is an important step in management Children (6-11 y.o.) Adults (>12 y.o.) Reduced FEV1/FVC < 0.8 <0.75 AND AND AND ↑FEV1 post-bronchodilator ≥12% ≥12% Triggers Environmental irritants Animal fur Cold air Exercise URTIs Cigarette smoke B-Blockers/ASA Management Self-management education Written action plan (see CTS reference below, Table 5 for action plan recommendations) Pharmacological management CHILDREN (6 y.o.-11 y.o.) MAINTENANCE RELIEVER No maintenance therapy needed (mild, intermittent asthma) SABA PRN Low dose ICS (Budesonide ≤400mcg, Fluticasone ≤200mcg) Medium dose ICS (Budesonide 400-800 mcg, Fluticasone 200-400 mcg) Add LABA or LTRA + Consider specialist referral ADULTS (>12 y.o.) MAINTENANCE RELIEVER No maintenance therapy needed (mild, intermittent asthma) SABA PRN Low dose ICS (Budesonide ≤400mcg, Fluticasone ≤250mcg) SABA PRN