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Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Approach Low dose ICS ... -> Low dose ICS ... Med/High dose ICS ... increase the dose of ICS ... uncontrolled on high dose ICS
The 2019 Global Initiative for Asthma (GINA) treatment strategy figure for adults and adolescents, annotated to
ICS: inhaled corticosteroids ... antagonists; LABA: long-acting ... β2-agonists; OCS ... Asthma #Management #Stepwise ... StepUp #Treatment #Algorithm
Chart of Inhalers for Asthma and COPD
 - SABA - Short Acting Beta-2 Agonists
 - SAMA
Agonists - LAMA - Long ... Combination - ICS ... Combination - ICS ... Corticosteroid - ICS ... inhalers #pulmonary #lung
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Pharmacologic treatment algorithms ... Chronic Obstructive Lung ... LAMA: long-acting ... β2-agonist; ICS ... GOLD2017 #LAMA #LABA #ICS
Asthma GINA Guidelines 2019 
If Asthma is uncontrolled, first assess for adherence and inhaler technique -Then,
Then, increase stepwise ... then a low dose ICS ... then step up to ICS ... strength of the ICS ... recommending low dose ICS
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Care Syndrome (PICS ... ) Symptoms of PICS ... RISK FACTORS - ICU ... screening (CAM-ICU ... #criticalcare #icu
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... goal-directed stepwise ... 2) Subsequent ICU ... #Shock #Algorithm ... Sepsis #Management #StepWise
LABA/ICS Combination Inhalers
Long-Acting Beta2 Agonists (LABA) + Inhaled Corticosteroid (ICS) - Commonly used in Asthma 
Advair
LABA/ICS Combination ... Corticosteroid (ICS ... Here are the LABA/ICS ... powder into their lungs ... These combo LABA/ICS
Inhaled Corticosteroid Inhaler Strengths
Beclomethasone	Qvar	100-200	>200400	>400
Budesonide	Pulmicort	200-400	>400-800	>800
Ciclesonide	Alvesco	80-160	>160-320	>320
Fluticasone furoate	Arnuity Ellipta	100	n/a	200
Fluticasone dipropionate	Flovent	100-250	>250-500	>500
Mometasone fuorate	Asmanex	110-220	>220-440	>440

Asthma maintenance inhalers should always include an inhaled corticosteroid
corticosteroid (ICS ... step of therapy is ... overview of what ICS ... Corticosteroid #ICS
Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease
Initial medical treatment of chronic obstructive pulmonary disease (COPD)
Medical Treatment Algorithm ... of expiration; ICS ... agonist; LAMA, long-acting ... COPD #Treatment #Algorithm ... LAMA #SABA #SAMA #ICS