2016 新西兰成人哮喘指南.pdf

ADULT ASTHMA GUIDELINES GUIDELINES Asthma and Respiratory Foundation NZ adult asthma guidelines: a quick reference guide Richard Beasley, Robert J Hancox, Matire Harwood, Kyle Perrin, Betty Poot, Janine Pilcher, Jim Reid, Api Talemaitoga, Darmiga Thayabaran ABSTRACT The purpose of the Asthma and Respiratory Foundation NZ Adult Asthma Guidelines is to provide simple, practical and evidence-based recommendations for the diagnosis, assessment and management of asthma in adults (aged 16 and over) in a quick reference format. The intended users are health professionals responsible for delivering asthma care in the community and hospital Emergency Department settings, and those responsible for the training of such health professionals. Abbreviations: ABG Arterial Blood Gas ACT Asthma Control Test ACOS Asthma/COPD overlap syndrome COPD Chronic obstructive pulmonary disease CXR Chest X-Ray DHB District Health Board DPI Dry-powder inhaler ED Emergency Department FeNO Fraction of expired nitric oxide FEV1 Forced expiratory volume in one second FVC Forced vital capacity HDU High Dependency Unit ICS Inhaled corticosteroid ICU Intensive Care Unit LABA Long-acting beta-2 agonist LAMA Long-acting muscarinic antagonist MDI Pressurised Metered Dose Inhaler NIV Non-invasive ventilation NSAID Non-steroidal anti-infl ammatory drug PaO2, PaCO