Asthma

Availability

North South North West Statewide

Pre-referral work-up

History

This clinic is for Specialist assessment of patients with life threatening asthma attacks, moderate or severe persistent asthma, patient difficulty with self-management, atypical features and doubt about diagnosis, severe rhinitis, lack of response to treatment, guidance needed re triggers and avoidance.

All referrals should comply with the Referral Standards and specifically include:

  • Frequency of exacerbations, prior hospitalisation
  • Relevant past history and occupational history
  • Family history
  • Allergies
  • Past and current medication
  • Smoking status
  • Compliance with treatment
  • Use of/need for oral corticosteroids

Tests

  • Office spirometry - pre and post bronchodilator
  • Consider chest x-ray

Interim/GP management

To refer a patient with this condition, please see the Respiratory and Sleep Medicine clinic page for the full referral process and templates.

  • Smoking cessation, identify and avoid or control trigger factors
  • Education about illness, inhaler technique
  • Provision of an asthma management plan
  • Annual flu vaccination in patients with severe asthma, see National Vaccination guidelines
  • Allergen avoidance

Please see Health Pathways - Asthma Adults / Children pages.

For more information please see the Tasmanian Health Pathways website.

Emergency

Life threatening severe asthma

Urgent / category 1

Frequent exacerbations

Hospital admissions in the last three months

Need for oral corticosteroids on more than two occasions per year

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

National Asthma Handbook

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED
– Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100 Fax: (03) 6173 0489

Urgent:

We will endeavour to see these patients within four weeks.

Patients with suspected lung cancer will be seen within one week.

Urgent referrals should be accompanied by a phone call to the Respiratory Department and/or the relevant doctor for urgent assessment and referral faxed to the Respiratory Department as well (03) 6173 0462.

Semi-urgent:

We will endeavour to see these patients within 12 weeks.

Routine:

Next available appointment.