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Moderate And Severe Persistent Asthma, Ambulatory Care

Moderate or severe persistent asthma occurs

when you have asthma symptoms every day. Your normal activities are affected by wheezing, shortness of breath, or chest tightness. You have frequent flare-ups when your symptoms become worse. Flare-ups at night can affect your sleep and happen at least once a week.

Seek immediate care for the following symptoms:

  • Lips or fingernails turn gray or blue
  • Any severe symptoms
  • The skin around your neck and ribs pulls in with each breath
  • Peak flow numbers are in the red zone of your asthma action plan

Treatment for moderate or severe persistent asthma

includes medicines to decrease inflammation in your lungs. Medicines also open your airways and make it easier to breathe. The medicines may be inhaled, injected, or given as a pill. You may need medicine to relieve symptoms quickly and to prevent future attacks. Allergy shots may be given to help control allergies that trigger your asthma.

Manage moderate or severe persistent asthma:

  • Follow your asthma action plan. This is a written plan that you and your healthcare provider create. It explains which medicine you need and when to change doses if needed. The plan also explains how you can monitor symptoms and use a peak flow meter. The meter measures how well air moves in and out of your lungs.
  • Identify and avoid triggers. Keep your home free of pets, dust mites, cockroaches, and mold.
  • Manage other health conditions such as allergies, sinus problems, sleep apnea, or acid reflux.
  • Do not smoke and avoid others who smoke. If you smoke, it is never too late to quit. Quitting smoking may reduce your symptoms. Ask your healthcare provider for information if you need help quitting.
  • Ask about a flu vaccine. The flu can make your asthma worse. You may need a yearly flu shot.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.