Asthma and Stepwise Management Paper


Asthma is a medical condition that presents as breathing difficulties, coughing, wheezing and shortness of breath duet to narrowed, swollen, inflamed and obstructed airways. Treating the condition would typically involve managing the symptoms. This means that the treatment strategies would regularly be reviewed and adjusted in response to how the symptoms present (Edlin & Golanty, 2015). The present paper discusses the intricacies of asthma management with emphasis on short-term and long-term care as well as stepwise management Asthma and Stepwise Management Paper.

Long-term control and quick-relief treatment

Asthma management can either adopt long-term control or quick-relief treatment options. To be more concise, effective treatment for asthma are either presented as long-term control medicine or quick relief medicine. Quick-relief medication are typically used to offer immediate relief and are applied asthma symptoms first present. They are presented as bronchodilators and include anticholinergics and short-acting inhaled beta 2 agonists. The quick relief medication are considered bronchodilators since they expand the bronchi (air passageways in the lungs) to improve breathing by allowing greater quantities of air through (Edlin & Golanty, 2015). Other than clearing the passageways, they also clear mucus from the lungs to ease breathing. It is notable that quick-relief medication as only responsible for suppressing the symptoms reported for asthma but they do not have an effect on the inflammation that initially caused the symptoms. Quick relief medication are recommended for use not more than two times every week. Should their need exceed twice weekly, then long-term control medication would be prescribed to prevent asthma attacks and symptoms. They include immunomodulators, oral and inhaled corticosteroids, methylxanthines, long-acting inhaled beta 2 agonists, cromolyn sodium, and leukotriene modifiers or antileukotrines. It is notable that unlike quick relief medication that should not be used for more than twice weekly, long-term control medicine is used daily to not only suppress symptoms but also address the inflammation that initially caused the symptoms (Copstead-Kirkhorn & Banasik, 2014) Asthma and Stepwise Management Paper.

Stepwise approach

The stepwise management of asthma applies a grading system to determine the patients’ needs and most appropriate treatment/management approach. In this case, the grading system uses an impairment and risk domain to decide on the medical needs of each patient. Using the grading system, medical personnel can guarantee better control of the condition through deciding on the best medication type, dose, numbers, and how frequent the medication should be used. For that matter, stepwise control is intended to ensure long-term control of asthma, looking at how to manage the symptoms and the inflammation that caused the symptoms, as well as ensuring that the condition is not exacerbated (Gielen et al., 2015). The stepwise approach to cancer treatment identifies six grades that are presented in progression as the case worsens. The first grade uses short-acting inhaled beta-agonists. The second grade uses low dose inhaled corticosteroids. The third grade uses low dose inhaled corticosteroids and long-acting inhaled beta agonists. The fourth grade uses medium dose long-acting beta-agonists and inhaled corticosteroids. The fifth grade uses high dose long-acting beta agonists and inhaled corticosteroids. The sixth grade uses high dose long-acting beta-agonists, inhaled corticosteroids, and oral corticosteroids. Each step is reviewed every three months before deciding on whether or not to upgrade or downgrade care (Arcangelo et al., 2017).

How stepwise management

Stepwise management of asthma is important in the control of the condition through determining the specific medication requires, dosage to be administered and how often the medication should be administered to achieve the desired control. Through the grades presented in the stepwise control, patients can be speedily evaluated in terms of their care needs while also making allowances for when the condition changes in terms of whether the management should be upgraded as the condition worseness to use stronger medication or downgraded as the condition improves to use weaker medication (Arcangelo et al., 2017).


One must accept that asthma is a medical condition presented as narrowed and swollen airways that produce mucus. In addition, one must acknowledge that asthma management occurs through symptoms control. The control occurs through inhaled corticosteroids, short-acting inhaled beta agonists, and long-acting inhaled beta-agonists whose administration occurs through stepwise management that matches severity, impairment and risk that determine dose, number of medication and administration frequency.


Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: a practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

Copstead-Kirkhorn, L. & Banasik, J. (2014). Pathophysiology (5th ed.). Amsterdam: Elsevier Health Sciences.

Edlin, G. & Golanty, E. (2015). Health and wellness. Burlington, MA: Jones & Bartlett Publishers.

Gielen, S., Backer, G., Piepoli, M. & Wood, D. (2015). The esc textbook of preventive cardiology: clinical practice. Oxford: Oxford University Press Asthma and Stepwise Management Paper .

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