Living Well With Asthma | Page 26

LIVING WELL WITH ASTHMA When you feel an attack coming, follow these three steps: 1. Get away from the trigger that started your attack. 2. Take your quick-relief medicine as soon as you notice symptoms, then follow your Asthma Action Plan. 3. If you still have wheezing and shortness of breath, contact your health-care provider or get emergency help. Many people with asthma are so used to poor breathing that they don’t recognize the problem. It’s best to go by the Rules of Two® – signs that your treatment plan is not working. Contact your health-care provider if: When to See an Asthma Specialist • If you continue to experience symptoms that disrupt sleep or everyday activities, even after following your management plan, then a visit to a specialist (an allergist or pulmonologist) may be in order. The National Institutes of Health asthma guidelines recommend seeing a specialist if any of the following apply: • You have asthma symptoms more than TWO days a week. • Your asthma wakes you up TWO or more times a month. • • You have had a life-threatening asthma episode. You refill your quick-relief bronchodilator prescription more than TWO times a year. • You are not responding to treatment after 2 to 4 weeks. • You have persistent asthma symptoms, limited physical activity and frequent flares. (NOTE: The Rules of Two® is trademarked by Baylor Health Systems.) 24 • You need continuous highdose inhaled corticosteroids or more than two courses of oral corticosteroids in 1 year. • You need additional testing, such as allergy tests, complete spirometry breathing tests, rhinoscopy, or bronchoscopy. • You are being considered for immunotherapy. • You have conditions that complicate your asthma, such as severe hay fever, sinusitis, GERD, or exercise-related breathing problems. • You require additional education on complications of therapy or allergen avoidance at home, school, or work.