Sunday, July 22, 2007

Asthma Hx

Things you need to ask someone with asthma:
  • Sx: wheeze, dyspnoea, cough, disturbed sleep
  • Exercise - quantify distance to breathlessness
  • Days per week off work or school
  • Diurnal variation
  • Triggers - RTIs, cold, exercise, pets, emotions, drugs
  • How & when they monitor their asthma e.g. peak flow meter
  • Use of preventers and inhalers. Has there been any changes?
  • For elderly people, ask if they've had Fluvax and Pneumovax vaccines (major RF for infective exacerbation)
  • Any other atopic diseases like eczema, hay fever, allergy
  • Previous attacks or hospitalisations
  • Family history of asthma


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