St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Health Care Guides

What to expect at the doctor's office

In order to carefully monitor your asthma according to National Institutes of Health guidelines, a doctor will generally do the following:

  • Classify the severity of your asthma at the initial diagnosis according to the NAEPP classification system.
  • Help you set goals and work with you to achieve them.
  • Recommend measures to control asthma triggers, such as tobacco smoke, house dust mites, or cockroach, dog, or cat allergens.
  • Provide you with a written "action plan" that explains how to manage your asthma on a daily or regular basis. These instructions should include what to do during an asthma attack.
  • If you have moderate-to-severe persistent asthma, teach you how to monitor your peak flow and your asthma signs. Give you a record chart to track the results each day. (Some children may be too young for symptom or peak flow tracking.)
  • Answer your questions and check to make sure you understand your medications.
  • Adjust your treatment plan as needed. The doctor should be able to optimize your treatment plan, so that your asthma is under control and side effects are minimal.

At each visit, the physician will:

  • Ask you whether your asthma symptoms are impacting your life in any way.
  • Examine you and sometimes do formal breathing tests. Spirometry, or at least peak flow measurement, should be done at the time you are first assessed, after your symptoms have first been brought under control, and then at least every one to two years to make sure your asthma is still under control.
  • Classify the severity of your asthma according to the NAEPP classification system at each asthma office visit.
  • Assess for referral to specialty care, recommend in any of the following circumstances:
    • A single life-threatening asthma event.
    • Treatment goals are not being met within 3 weeks - 6 months of treatment, or the asthma is not responding to therapy.
    • Asthma diagnosis unclear.
    • Patient’s asthma classification is severe persistent asthma.
    • Patient is under age 3 with moderate persistent asthma.
    • Patient is a candidate for immunotherapy.
    • Patient has required more than two courses of oral steroids in a year, or continuous high-dose inhaled steroids.
    • Patient needs additional education or guidance.
  • See if you understand your written action plan and assess your level of satisfaction with the treatment.
  • Verify at each visit how and how much you use your medications, inhalers, or peak flow meter.

Reference

National Asthma Education and Prevention Program Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Rockville, MD. National Heart, Lung, and Blood Institute, US Dept of Health and Human Services; 2007. NIH publications 08-4051.

 

Main Menu

Review Date: 6/29/2012
Reviewed By: Allen J. Blaivas, DO, Clinical Assistant Professor of Medicine UMDNJ-NJMS, Attending Physician in the Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Veteran Affairs, VA New Jersey Health Care System, East Orange, NJ. Review provided by VeriMed Healthcare Network. Previoulsy reviewed by David A. Kaufman, MD, Section Chief, Pulmonary, Critical Care & Sleep Medicine, Bridgeport Hospital-Yale New Haven Health System, and Assistant Clinical Professor, Yale University School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. (6/1/2010)
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com


Back  |  Top
About Us
Contact Us
History
Mission
Locations & Directions
Quality Reports
Annual Reports
Honors & Awards
Community Health Needs
Assessment

Newsroom
Services
Brain & Spine
Cancer
Heart
Maternity
Orthopedics
Pulmonary
Sleep Medicine
Urgent Care
Women's Services
All Services
Patients & Visitors
Locations & Directions
Find a Physician
Tour St. Luke's
Patient & Visitor Information
Contact Us
Payment Options
Financial Assistance
Send a Card
Mammogram Appointments
Health Tools
My Personal Health
mystlukes
Spirit of Women
Health Information & Tools
Clinical Trials
Health Risk Assessments
Employer Programs -
Passport to Wellness

Classes & Events
Classes & Events
Spirit of Women
Donate & Volunteer
Giving Opportunities
Volunteer
Physicians & Employees
For Physicians
Remote Access
Medical Residency Information
Pharmacy Residency Information
Physician CPOE Training
Careers
Careers
St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile