by popular demand we're tackling one of the most frequently requested topics multiple questions on G A guidelines have appeared on recent nurse practition board exams leaving many students feeling uncertain today we'll break down the essentials to boost your confidence let's get started your success is my priority let's Master the G asthma guidelines together let's Dive Into the Heart of our discussion the actual G guidelines this is the exact content used in board examinations so it's crucial we understand it inside out what are the G guidelines the global Initiative for asthma or G guidelines provide a framework for managing asthma they recommend a stepup approach where treatment options are tailored to symptom severity each step is closely related to symptom frequency in the chart you can see that in Step One symptoms are infrequent occurring less than twice a month step two is when we have symptoms more than twice per month but not daily step three is symptoms on most days or waking up with asthma once a week or more steps four and five are similar to step three but now we begin to see a low lung function as defined by a low fev1 percentage reviewing step one step one is the mildest category the recommended medication is an as needed lowd dose IC for materal note that IC form matero is a combination of an inhaled cortical steroid and a lava or a long acting beta Agonist which is formo teral but formal is a quick acting drug and that is why is given as a rescue inhaler other controller options this acknowledges patient unique needs medicine becomes an art when considering individual responses and adjusting treatments according to their personalized needs step one recommends a lowd does IC taken whenever a Saba or a short acting beta Agonist is taken the preferred reliever is and as needed lowd dose IC for material steps through to five involve more complex treatment scenarios let's review step two preferred controller is a daily lowd dose IC or as needed IC for material other controller options include a daily lucrin receptor antagonist or a lowd Doos IC with as SAA the preferred reliever is the same as step one as needed lowd dose IC for materal step three the recommended treatment is a lowd dose ICS lava other options are a medium dose IC or low dose I with a lucrin receptor antagonist the preferred reliever it's still the same as needed IC for materal step four the recommended treatment is a medium dose IC lava other options include a high does IC s or add tiotropium or add a lucrin receptor antagonist and the preferred reliever as needed ics for matero step five now remember we are studying primary care nurse practitioner level we will not be taking care of step five patients as this asthma is quite severe and should be followed by a specialist so I will skip this step it is it is very likely that they will ask you about it on the board exams now remember these key principles when assessing the G guidelines number one assess symptom severity number two understand step up treatment as needed number three combine medications for additive benefits and number four Monitor and adjust treatment regularly thanks for watching if you're gearing up for the a or the ancc and found this breakdown of the G guidelines helpful imagine what you could achieve with access to our full online course not only will you get the fulllength video with exclusive test taking strategies but you'll also unlock expert tip and resources to help you crush your board exams so don't wait join today and take the next step towards your success as a nurse practitioner visit theen review.com to get you started now