TY - JOUR AU - Corbridge, Thomas C. AB - 2.6 sruoh Continuing Education By Susan Corbridge, PhD, APN, ACNP, AE-C, and Thomas C. Corbridge, MD, FCCP ASTHMA in Adolescents and Adults Guideline-based diagnosis and management. OVERVIEW: More than 16 million U.S. adults have asthma, a condition that prompts 2 million ED visits and nearly half a million hospital admissions annually. Management of this potentially deadly, chronic inflam- matory disease depends on early diagnosis, accurate classification, appropriate treatment, and targeted patient education. This article outlines current guideline recommendations for asthma and reviews what clini- cians need to teach patients about its pathophysiology, pharmacotherapy, self monitoring, and environmental 24-year-old woman presents to an NP, reporting a two-year history control. The authors discuss the classic clinical presenta- of episodic cough, chest tightness, tion of the disease, describe how to assess severity and and shortness of breath. (This control, and explain how such assessments can guide A patient is a composite of several management. cases we’ve encountered in our practice.) Over the past three months, episodes have become slightly more frequent, occurring on an average of With office spirometry, the patient demonstrates once a month, with weekly nighttime episodes that mild expiratory airflow obstruction. Repeat spirom- awaken her from sleep. Between episodes TI - Asthma in Adolescents and Adults JO - AJN: American Journal of Nursing DO - 10.1097/01.NAJ.0000372069.78392.79 DA - 2010-05-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/asthma-in-adolescents-and-adults-3uXyAA6iwu SP - 28 EP - 38 VL - 110 IS - 5 DP - DeepDyve ER -