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Symptoms
<3 times/week, nocturnal awakenings <3/month, may occur only during exercise
- Mild Intermittent
- Treatment of Exacerbations
- Inhaled short acting beta agaonist
- IV corticosteroids if persistent symptoms
- Long term ControlNo daily medication
- May use mast cell stabilizer if known trigger
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bronchodilator use >2 times/week
nocturnal awakenings >every 2 weeks
- Mild persistent
- Treatment of ExacerbationsInhaled short acting beta agonists
- IV corticosteroids if persistent symptoms
- Long term controlInhaled low dose corticosterid
- Consider mast cell stabilizer, leukotriene inhibitor, or theophylline
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Daily symptoms
Daily bronchodilator use
Symptoms intergere with activity
Nocturnal awakening >1time/week
- Moderate persistentTreatment of Exacerbations
- Inhaled short acting beta agonistsIV corticosteroids if persistent symptoms
- Long term controlinhaled low to medium dose corticosteroids and long acting beta agonsts
- Consider leukotriene inhibitor
- Think about theophylline
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Symptoms with minimal activity
Awake multiple times a night
Require multiple medications on a daily basis
- SevereTreatment of Exacerbations
- Inhaled short acting beta agonistsIV corticosteroids if persistent symptoms
- Lonterm controlinhaled high-dose corticosterid, long acting beta agonist
- Consider systemic corticosteroids
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