ACT
Qué medicamento está tomando:
Salbutamol inhalador 
Ipratropio inhalador               
Beclometasona inhalador                usa inhalocámara
Montelukast tabletas
Teofilina R capsulas             
Formoterol/Budesonida turbohaler 
Salmeterol/fluticasona 
Omalizumab                         Otros
Tiotropio                            

Prednisolona
Dosis diaria     intediaria




























Síntomas de Asma 
Edad:  Talla:
Sexo M F
Sexo
M   F
 

                                                                                                                    

                                                                              

                                                                                

                                                                    

 Tos                

Sibilancias    

Disnea              

Opresión torácica

Despertares por asma                    

Uso de Salbutamol de rescate          

Interferencia con la actividad normal    

Crisis el último año (Ciclos cortos esteroides orales)   

 

PEF% del predicho                       %

VEF1                          

Disnea

                                                                              

                                                    

                                         

                 

                                                                                                                                              

                                                                                                                                                                      

                                                                                                          
                                                                                                      
                                                                                                                                                   


                                                                                                     Preferido                                                 Alternativa
               Tratamiento sugerido: Nivel   
                                                                                                  
                                                                                                      
Notas adicionales: