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Asthma / Combination drugs / Chronic lower respiratory diseases / GlaxoSmithKline / Fluticasone/salmeterol / Salbutamol / Salmeterol / Budesonide/formoterol / Inhaler / Medicine / Pulmonology / Respiratory therapy


Annual ADULT ASTHMA PATIENT CARE FLOW SHEET VISIT 1: INITIAL ASSESSMENT AND DIAGNOSIS Patient Name: _________________________ Date: _________________________________
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Document Date: 2014-02-18 14:28:21

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File Size: 44,72 KB

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MedicalCondition

Chronic nature / Allergies / GERD / Sleep apnea / COPD / asthma/atopic disorder / disease / Chest tightness / Allergic rhinitis/sinusitis / Certified asthma / Nasal Polyps / atopic disorder / Infections / Laryngeal dysfunction / /

MedicalTreatment

Vaccinations / /

Person

Asthma Diagnosis / /

Position

physician / Pediatrician / Controller / Nurse / /

Product

Advair Diskus / Pulmicort / Spiriva / Alvesco / Accolate / Singulair / Prednisone / Flovent Diskus / Bricanyl / Flovent / Xolair / Symbicort / Serevent / Ventolin / /

ProvinceOrState

Ontario / /

URL

www.AsthmaActionPlan.com / www.on.lung.ca / http /

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