AANP Adult Gerontology Primary Care Nurse Practiotioner Practice

In asthma management, the immediate step for all patients experiencing symptoms is the use of a Short-Acting Beta-2 Agonist (SABA). SABAs, such as albuterol, work quickly to relax bronchial smooth muscle, leading to immediate relief of bronchospasm and dyspnea. They are considered the first line of treatment during an asthma attack or when symptoms exacerbate, providing rapid bronchodilation within minutes.

This quick action makes SABAs essential in managing acute episodes and is vital in an asthma action plan. While inhaled corticosteroids are important for long-term control and prevention of symptoms, they take longer to exert their effects and are not suited for immediate relief. Long-acting Beta-2 agonists (LABAs) are used for ongoing control and should not be used as monotherapy in asthma management without an inhaled corticosteroid, as that could lead to increased risk of severe asthma exacerbations. Oral corticosteroids are typically reserved for severe exacerbations or long-term management in persistent asthma cases but are not a first-line treatment for immediate symptom relief.