Microsoft word - epr-3 guideline change page.doc

Skip to content past banner and navigation links Guidelines for the Diagnosis and Management of Asthma
— Full Report
Change Page
The EPR-3 was initially posted to the NHLBI website in August 2007. Periodically edits are made to this document and these edits are logged onto this change page. As of August 5, 2008 the following edits have been made (specific wording changes are indicated in bold): Figure or Table
Figure 3-5a: Assessing Asthma Under the heading Well Controlled, Nighttime awakenings - Control in Children 0 - 4 Years "one time or less per month"
311 Figure 4-4a: Usual Dosages for Under the heading, Systemic Corticosteroids, ages 0 to 4
Long-Term Control Medications years - change to read: in Children Short-course "burst": 1 - 2 mg/kg/day, maximum 60
315 Figure 4-4b: Estimated
Under the first bullet, 3rd dash - replace text to read: Comparative Daily Dosages for The doses for budesonide and fluticasone MDI or DPI
Inhaled Corticosteroids in
are based on recently available comparative data.
These new data, including meta-analyses, show that
fluticasone requires one-half the microgram dose of
budesonide DPI to achieve comparable efficacy
(Adams et al. 2005; Barnes et al. 1998; Nielsen and Dahl 2000). 318 Figure 4-4c: Usual Dosages for Under the heading, Systemic Corticosteroids, ages 5 - 11
Short-course "burst": 1-2 mg/kg/day, maximum 60
mg/day for 3 - 10 days.
349 Figure 4-8b: Estimated
Under the last bullet, 3rd dash - replace text to read: The doses for budesonide and fluticasone MDI or DPI
are based on recently available comparative data.
These new data, including meta-analyses, show that
fluticasone requires one-half the microgram dose of
budesonide DPI to achieve comparable efficacy
(Adams et al. 2005; Barnes et al. 1998; Nielsen and Dahl
387 Figure 5-5: Dosages of Drugs
Under the heading, Anticholinergics, Ipratropium bromide 0.25 - 0.5 mg every 20 minutes for 3 doses, then as
needed
387 Figure 5-5: Dosages of Drugs
Under the heading Anticholinergics, Iptratropium with albuterol nebulizer solution - change to read:
1.5 - 3.0 mL every 20 minutes for 3 doses, then as needed
387 Figure 5-5: Dosages of Drugs
Under the heading, Systemic Corticosteroids, Prednisone - change to read:
1 - 2 mg/kg in 2 divided doses (maximum = 60 mg/day)
until PEF is 70% of predicted or personal best National Heart, Lung, and Blood Institute Department of Health and Human Services

Source: http://www.asthma-iaap.com/pdfs/EPR3_Guideline_Change_page.pdf