Asthma Management: NICE Guidelines and Medication Recommendations

This video summarizes NICE guidance on asthma management, including recommendations for different age groups and inhaled corticosteroid doses.

00:00:00 This video provides a summary of NICE guidance on asthma management, focusing on considerations for uncontrolled asthma and pharmacological principles to follow.

📋 Consider possible reasons for uncontrolled asthma before starting or adjusting medicines.

👥 Define uncontrolled asthma as three or more days a week with symptoms or three or more days a week with required use of a Saba or shorter Timber Agonist inhaler for symptomatic relief or one or more nights a week with Awakening due to asthma.

💊 Offer regular daily inhaled corticosteroids rather than intermittent therapy and adjust inhaler doses as needed.

🗺️ Provide pharmacological treatment for newly diagnosed asthma or uncontrolled asthma on current treatment.

00:01:55 Summary: This video discusses the NICE guidance for asthma management, providing recommendations for different age groups and clarifying the differences in inhaled corticosteroid doses. No mention of sponsorships or brand names.

The recommendations for asthma management in children aged 5-16 are similar to those for adults.

There are low, moderate, and high doses of inhaled corticosteroids for asthma treatment.

The pediatric doses of inhaled corticosteroids are half of the adult doses.

00:03:47 This video provides an overview of NICE guidance on asthma management, including stepwise approach and treatment options for different levels of control.

Asthma management follows a stepwise approach in adults and children aged 5 to 16.

👉 Short-acting beta 2 agonists are used as reliever therapy for infrequent short-lived symptoms of asthma.

💨 If asthma remains uncontrolled, additional medications such as long-acting beta 2 agonists and leukotriene receptor antagonists are offered.

💙 Maintenance and reliever therapy (MART) involves using a single inhaler containing both an inhaled corticosteroid and a fast-acting beta 2 agonist.

00:05:43 NICE guidance on asthma management includes daily maintenance therapy, relief of symptoms as required, and escalating treatment if control remains poor.

💡 Asthma management involves daily maintenance therapy and relief of symptoms as required.

🏥 For uncontrolled asthma, the inhaled corticosteroid dose can be increased to a moderate maintenance dose.

👶 In children under 5, the treatment pathway for asthma is slightly different, and diagnosis is challenging.

00:07:39 Management of asthma symptoms and treatment options, including self-management strategies and medication adjustments based on symptom resolution and recurrence.

👉 Management of asthma using inhaled corticosteroids based on symptom resolution.

🔍 Consideration of alternative diagnosis if symptoms do not resolve after stopping treatment.

📝 Importance of a written asthma self-management action plan.

🌬️ Addressing the impact of pollution on asthma and providing strategies to minimize exposure.

⚠️ Increasing the dose of inhaled corticosteroid for seven days when asthma control deteriorates.

00:09:34 This video provides guidelines on managing asthma, including when to increase or decrease corticosteroid treatment and when to contact healthcare professionals. It also discusses optimizing care for high-risk individuals.

📚 The NICE guidance provides recommendations for managing asthma, including increasing inhaled corticosteroid dose.

🔍 The self-management plan should include regular use of inhaled corticosteroids to regain control of asthma.

⚠️ Identifying and optimizing care for asthma patients at increased risk of poor outcomes is important.

00:11:27 This video provides guidance on managing asthma, including checking adherence, inhaler technique, and monitoring symptoms using questionnaires and spirometry. No routine use of specific tests.

The ongoing management of asthma involves checking adherence, inhaler technique, and the need for treatment changes.

For monitoring symptoms in adults, a validated questionnaire and spirometry or Peak flow variability testing can be used.

Routine use of fractional exhaled nitric oxide or challenge testing for monitoring purposes is not recommended.

Inhaler technique should be checked at every asthma consultation and when there is deterioration or a change in the device.

Summary of a video "Asthma management- NICE guidance" by Practical GP on YouTube.

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