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animal dander, pollen, mold, respiratory infection, beta blockers, NSAIDs, cigarette smoking, non-adherence) Use inhaled short-acting beta agonists early and frequently, and consider concomitant use of ipratropium for severe exacerbations Start systemic glucocorticoids if there is not an immediate and marked response to the inhaled short-acting beta agonists Make frequent (every one to two hours) objective assessments of the response to therapy until definite, sustained improvement is documented Admit patients who do not respond well after four to six hours to a setting of high surveillance and care Educate patients about the principles of self-management for early recognition and treatment of a recurrent attack and develop an asthma action plan for recurrent symptoms Know how to interpret how bad your patients asthma is at baseline

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