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An Analysis of Drug Therapy and the Step-Wise Approach in Asthma Management


It is an ailment for people of all age groups with an underlying need that advanced practice nurses should be able to provide for asthmatics. It is crucial to differentiate mild asthma signs from life-taking episodes to offer the right therapy. This paper identifies the fundamental aspects of medication therapy for asthma management with alternative quick-relief and long-term strategies. The organized way of managing asthma is also explored, providing the necessary information on how it assists people with different health problems.

Long-term control and quick relief treatment options.

The last element of long-term strategies concerns medicating treatments like inhalation drugs, bronchodilators, and other preventative medicines that I offer myself in practice. Firstly, they are significant components in controlling the ongoing inflammation experienced by asthmatic patients and relieving associated symptoms, including coughs and wheezing. I observe the effect that such long-term control medication has on my patients. Chronic medication reduces the frequency and severity of asthma attacks over time, leading to better general health for the individual using them consistently (Kaplan et al., 2020). However, short-acting beta-agonist drugs such as albuterol serve as effective and instant forms of quick relief from asthma attacks. They are fast-acting medicines taken by inhaler or nebulizer, which give instant results to the patient for relieving the bronchospasm effect, hence improving the flow of air (Papi et al., 2020). It is necessary, however, to keep an eye out for such adverse effects as an increase in heart rate and jitters, which may affect the patient’s comfort and compliance with the therapeutic regimen.

Guidelines on Phased or Stepped Approach to Asthma Treatment and Management

It is a systematic, individual-based protocol that follows the GINA guidelines. In this regard, I consider patients’ asthma severity and frequency, then adjust treatments to suit individual needs. The recommended treatment for intermittent asthma (less than two days a week) involves using SABA administered via nebulization or MDI (Lugogo et al., 2023). Nevertheless, in severe cases, the step-wise approach introduces long-term controlled medicines for optimum asthma control.

Benefits of Step-wise Management

The use of a step-wise management approach benefits providers and patients alike. It enables routine tracking of intervention and modification of treatment plans by the changing health status of a patient. They ensure that it is effective and timely; this includes using minimal interventions, hence avoiding the need for overdose prescriptions. The step-wise approach for asthma management summarises all-around attention to the current symptoms and ongoing concern about keeping asthma under control into the future by working closely with the patient.

Step-by-step application of the Step-wise approach.

Step 1: Severity Assessment and Initial Intervention

It includes an evaluation of asthma severity, a part of the refined step-wise approach. Healthcare providers identify the intensity and occurrence of symptoms that help place different severity levels on the patients. Those with intermittent asthma (symptoms less than two days a week) get initial treatment using short-acting beta-agonists either in nebulizer form or as metered dose inhalers.

Step 2: Continuous Monitoring and Adjustment

After the first intervention, the next task is continued surveillance of the patient’s reaction to the therapy. This approach allows clinicians to adapt their treatment plan depending on how the “clinical picture” develops for every patient. Long-term control involves providing medicines to patients with severe asthma that help keep asthma under control.

Step 3: Patient Empowerment and Self-Management

An improved step-wise method encompasses the engagement of patients and encouraging them to actively participate in managing asthma. Patients understand asthma is unpredictable by undergoing routine follow-ups and education. It teaches them to notice some early symptoms that deteriorate the condition and correct it immediately. Enhanced medication compliance is also encouraged in the third step, leading to improved patient quality of life.

Step 4: Collaborative Patient-Provider Relationship

Lastly, this step stresses the teamwork between the patients and providers. Healthcare providers use an individualized and team-based mode of working. Their approach involves the involvement of an individual patient in designing a specific treatment based on his/her needs. Through this, healthcare providers and their patients remain on the same page regarding asthma management, thus improving health outcomes.

Role of Step-wise Management:

A personalized, team-based approach for managing asthmatics is possible using step-wise management. Healthcare providers use a progressive process suitable for everyone involved, depending on their unique requirements. Moreover, while practicing with a step-wise process, patients are equally critical; they understand and follow the process. This helps improve the treatment outcome and benefits the patients’ overall welfare.


Kaplan, A., Mitchell, P. D., Cave, A. J., Gagnon, R., Foran, V., & Ellis, A. K. (2020). Effective asthma management: Is it time to let the AIR out of SABA? Journal of Clinical Medicine9(4), 921.

Lugogo, N., O’Connor, M., George, M., Merchant, R., Bensch, G., Portnoy, J., Oppenheimer, J., & Castro, M. (2023). Expert consensus on SABA use for asthma clinical decision-making: A Delphi approach—Current Allergy and Asthma Reports.

Papi, A., Blasi, F., Canonica, G. W., Morandi, L., Richeldi, L., & Rossi, A. (2020). Treatment strategies for asthma: Reshaping the concept of asthma management. Allergy, Asthma & Clinical Immunology16(1).


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