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Clinical practice review presents the ABCD mnemonic for primary care asthma consultations, highlighting structured checkpoints to optimize therapy and reduce short-acting beta-2 agonist overuse.
Asthma is one of the most common chronic conditions encountered in primary care. This article introduces the ABCD acronym – a grassroots, nurse-developed thinking prompt designed to support clinical thinking during asthma reviews. The ABCD acronym comprises four core elements: anti-inflammatory reliever therapy; breathe easier; complex care; and diagnosis and drug optimisation. The ABCD asthma thinking prompt is not a guideline or validated framework, nor is it a protocol. Instead, it functions as an aide-mémoire, offering practical checkpoints that can help nurses to consider diagnostic certainty, reduce reliance on short-acting beta-2 agonists, assess inhaler technique and recognise when asthma escalation may be appropriate in line with the evidence base.
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Melissa Agbonlahor (2026) studied this question.
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