Rescue Inhaler Helping Students with Asthma Breathe Better

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					Rescue Inhaler:
Helping Students with
Asthma Breathe Better
Audio Difficulties?
   Make sure the volume is turned up (volume
    button beneath the speaker’s picture)
   Make sure the volume on the computer is
    turned up (volume icon located on the right
    hand side of your computer taskbar)
   Contact your IT department
   If audio and visual is lost during the program,
    go back to:, and click
    on the Student Services Prevention and
    Wellness Team link on the left, then when the
    SSPW Team page of archived programs
    appears, select the program link desired.
   If problem persists contact Rachel Gallagher
    (608) 266-8857.
This power point, web cast and competency test
  will satisfy the knowledge portion of
  medication training.

To complete the medication training for this
  emergency medication, school personnel will
  need to have a their medication administration
  skill verified and documented by a school
  nurse, medical provider or adequately training
  parent by performing an independent
  demonstration of the skill.

Competency checklist are available at:
   What is asthma?
   Who has asthma?
   What are the signs/triggers of
   What is the treatment for asthma?
   What is the Wisconsin Asthma
    Inhaler Law?
Who has asthma?
   12% of all students nationally
   12 deaths/day from asthma
   12.9% of all Wisconsin children <18
    years of age have been diagnosed with
       17% boys
       9% girls
       Higher percentages in minority populations
What is Asthma?
   Chronic inflammatory disease of
    the airways
   An obstructive disease
   Disease that may cause permanent
    changes (remodeling) if not
    properly treated
   Disease that cannot be cured but
    can be controlled.
    What happens during an
    asthma attack?
 Muscles around
the airways tighten

 Airways are irritated
inflamed and swollen

Airways produce
more mucous
What triggers asthma
   Respiratory

   Allergens

   Physical exercise

   Irritants
Triggers of asthma cont.
   Changes in temperatures

   Cockroaches
What are the signs of
   Coughing
   Wheezing
   Chest tightness
   Shortness of breath
   Fast or noisy breathing
Conditions Affecting
Exercise-Induced Asthma
   Extremely hot and cold
   High pollen count
   Heavy air pollution/ozone
   Respiratory infection
   Tobacco smoke
Basic Asthma Management
   Stop physical activity
   Remove trigger
   Upright position and stay calm
   Administer rescue medication as
   Allow medication time to work
What is the treatment for
   rescue medications
       relieves bronchospasms
       used during an asthma episode
       may be used prior to exercise

   controller medications
        reduce inflammation and prevent episodes
        used correctly will decrease the use of
        rescue medications
Side Effects

   rescue
       increased heart rate
       shaky hands
Metered Dose Inhaler

   most common inhaler in school
   rescue medication
   frequent use suggests inadequate
    asthma control
Peak Flow Monitoring
Check the 5 rights or 5 Rs
   Right Student
   Right Medication
   Right Dosage
   Right Time
   Right Route
Steps in use of rescue
inhaler without a spacer
1. Shake inhaler well and remove cap.
2. If inhaler is new or not used in two
   week, or been dropped, prime the
   inhaler by depressing canister four
   times into air away from face (or as
   indicated by instructions).
3. Breath out completely.
4. Place lips around inhaler mouthpiece.
Steps in use of rescue inhaler
without a spacer cont.
5. Depress canister and take a deep
   breath in.
7. Hold breath for 10 seconds and breath
8. Repeat process (steps 3-7) if indicated
   by medical provider and parent
9. Secure inhaler and wash hands.
Steps in use of rescue
inhaler with a spacer
1. Shake inhaler well and
   remove cap.
2. Prime inhaler as needed.
3. Attach inhaler canister to spacer.
4. Place spacer mouthpiece or mask
  around the student’s face or
Steps in use of rescue
inhaler with a spacer cont.
6. Depress inhaler canister.
7. Take a deep, slow breath in (if you
  hear a whistling sound, you are
  breathing in too quickly).
8. Hold breath for about ten seconds,
  then breathe out through the
Steps in use of rescue
inhaler with a spacer cont.
7. Breathe in again but do not press
8. Remove mouthpiece from mouth
  and breathe out.
9. Repeat process (steps 4-7) if
  indicated by medical provider and
  parent authorizations.
10. Wash and store inhaler as

Rescue inhaler
 With

 Without spacer
   Every dose of medication needs to
    be documented with the date, time
    and initials of the person
    administering the medication on
    the medication log.
Initiate Emergency Action
   Prolonged wheezing
   Inability to talk in a complete sentence
    without stopping to breath
   Changes in color
   Change in respiratory rate
   Shoulders rise while breathing

Call 911, school nurse and parent
What is the Asthma
Inhaler Law?
Chapter 118.291 – Asthmatic
 Pupil; possession and use of

 A students may possess and use a
 metered dose inhaler or dry powder
 inhaler during school day and all school
 sponsored events or with supervision of
 a school authority if the following are
Inhaler Law Cont.
   Inhaler used to prevent or treat existing
    asthma symptoms (rescue inhaler)
   Written approval of parent (if minor)
    and medical provider for use of the
   Approval letters of parent and medical
    provider need to be given to principal
Any comments regarding this
 webcast? Any suggestions on
 future school nursing topics?

Rachel Gallagher
(608) 266-8857
      Take test.
 Upon completion, take
    test to nurse or
administrator for scoring.