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Family Medicine

Answer 7
  1. Chronic use of inhaled corticosteroids. The NHLBI recommends identifying patients at higher risk of asthma death, counseling these patients to seek early medical care, and providing them with intensive education about their disease, including instruction in the availability of ambulance care. Risk factors for death from asthma include prior intubation or intensive care unit admission for asthma, 2 or more hospitalizations in the past year, 3 or more ED visits for asthma in the past year, hospitalization or ED visit for asthma in the past month, use of more than 2 SABA canisters per month, difficulty perceiving symptoms or identifying exacerbations, low socioeconomic status, drug use or other major psychosocial problems, and chronic heart, lung, or psychiatric problems. Long-term use of inhaled corticosteroids has not been identified as a risk factor for death from asthma.

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