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Source: Diagnosis and Outpatient Management of Asthma. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2005 March 49 p. Diagnosis and Outpatient Management of Asthma Definitions and symptoms of asthma. A Previous diagnosis of asthma? A Establish diagnosis of asthma. A Acute asthma? A Management of acute asthma: *Beta2 agonists. *Corticosteroids. *Action plan. *Follow-up for chronic management. A Interval evaluation: *Medical history. *Assess asthma triggers / allergens. *Physical examination. *Measure pulmonary function. -spirometry. -PEFR. *Consider consultation and / or allergy testing. A Assess asthma severity. A Step care of pharmacologic treatment: *mild intermittent. *mild persistent. *moderate persistent. *severe persistent. A Asthma education: *basic facts about asthma. *how medications work *inhaler technique. *written action plan based on home peak flow rate monitoring or symptom diary *environmental control measures. *emphasize need for regular follow-up visits. A Schedule regular follow-up visits. A A = Annotation. All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.