AAFP POEMs- Adding Puffs of Steroid Inhaler to Rescue Inhaler in Moderate to Severe Asthma & Albuterol-Budesonide Fixed-Does Combo Rescue Inhaler for Asthma

Overview:

Adding Puffs of Steroid Inhaler to Rescue Inhaler in Moderate to Severe Asthma
Armando Flores, MD

While African American and Hispanic populations with asthma have higher rates of ED visits and hospitalizations, there is not much recent research focusing on these populations. One recent study aiming to decrease asthma exacerbations in moderate to severe asthma found a potential alternative option to SMART therapy, which may not always be an option. This alternative, adding puffs of ICS to SABA when as needed reliever is needed, shows promising option to prevent asthma exacerbations. As providers, remaining open to all options for moderate to severe asthma will increase our chances of maximizing control of asthma in our patients.

After this presentation attendees will be able to:

1. Recognize lack of data for asthma treatment in minority populations.

2. Distinguish when SMART vs alternative method is needed for asthma.

3. Outline findings from study of interest.

4. Prepare to use alternative methods for asthma control

Albuterol-Budesonide Fixed-Dose Combination Rescue Inhaler for Asthma

Tapas Nuwal, MD

After this presentation, attendees will be able to:

•       Summarize risk factors, clinical danger signs, and assessment of asthma attacks

•       Describe standard treatments and current management of acute asthma exacerbation in different demographics

•       Discuss in detail modified rescue medication that might reduce the risk of severe asthma exacerbations (MANDALA trial)

•       Support versus undermine the use of medication discussed above in the San Antonio population

Presenters:

Armando Flores, MD & Tapas Nuwal, MD 

PGY-3 Residents
Department of Family & Community Medicine
UT Health San Antonio

Financial Disclosures:

Armando Flores, MD and Tapas Nuwal, MD have no financial relationships with ineligible companies to disclose.

TThe Family & Community Medicine Professional Development and Grand Rounds Committee members (Mark Nadeau, MD, MBA; Nehman Andry, MD; Maria Del Pilar Montanez Villacampa, MD, Stacy Ogbeide, PsyD; Yun Shi, MD, PhD; Marcy Wiemers, MD; Christine Song, DO; Gabriela Gibson-Lopez, PsyD; Margaret Finley, MD; Richel Avery, MD; Khorshid Amirkhosravi, MD; Jeff Svec, MD; Oralia Bazaldua, Pharm D; Kelsi Sexton Barajas, MA, MEd) have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee member Carlos Roberto Jaén, MD has disclosed he receives royalties from General Practice and Family Medicine for being UpToDate Editor-in-Chief.

Credits:

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience:

Specialties – Primary Care; Family Medicine
Faculty, residents, other health care providers and staff from our department; physicians and health care providers from San Antonio and South Texas; and medical students in our third-year clerkship and fourth year rotations.

Accreditation:

The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation:

The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board.

For activity related questions, please contact:
Name: Kelsi Sexton Barajas- FCM Grand Rounds Coordinator
Email: sextonk@uthscsa.edu

For CME general questions, please contact
Ph: (210) 567-4445
Email: cme@uthscsa.edu