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Asthma

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					Asthma is not just a
     Wheeze
     What is Asthma

Asthma is a chronic lung disease, which is
characterized by attacks of breathing
difficulty.
      Goals for today
• Recognize the signs and symptoms of
  an asthma attack
• Understand the plan for an asthma
  attack at school
• Deliver proper treatment
    Signs and symptoms
Coughing
Tightness in chest
Wheezing
Gasping for air
Prolonged expiration
Color changes (pale or blue).
                Treatment
• Avoiding trigger
       •   Exercise
       •   Allergies
       •   Illness
       •   Weather and Air Quality
• Recognizing symptoms*
• Medication*

• *Refer to “Emergency Guidelines for Schools”
   What to do for an
    asthma attack
If you note the symptoms of an
asthma attack, prompt treatment is
necessary.
Stop the student from what they are
doing and have them sit upright.
Types of inhalers
Use of a Peak Flow Meter
•   Green Zone (80 to 100 percent of your personal best number)
    signals all clear. No asthma symptoms are present, and you may
    take your medicines as usual.

    Yellow Zone (50 to 80 percent of your personal best number)
    signals caution. You may be having an episode of asthma that
    requires an increase in your medicines. Or your overall asthma may
    not be under control, and the doctor may need to change your
    medicine plan.


    Red Zone (below 50 percent of your personal best number) signals
    a medical alert. You must take an inhaled beta2-agonist right away
    and call your doctor immediately if your peak flow number does not
    return to the Yellow or Green Zone and stay in that zone.
Using an inhaler can be
        tricky

Care must be taken that the inhaler is
used correctly to ensure that the
medication gets to the lungs and not
the back of the throat.
    Using the inhaler
A metered dose inhaler (MDI) delivers a
specific amount of medicine in aerosol
form. This makes it possible to inhale the
medication, instead of taking it in pill
form.

MDI's are commonly used to treat asthma,
COPD, and other respiratory conditions.
 Take off the cap and
shake the inhaler hard.
Breathe out all the way.
Hold the inhaler 1 to 2 inches in
front of the mouth (about the
     width of two fingers).
 Start breathing in slowly through
the mouth, and then press down on
  the inhaler one time. Breathe in
 slowly and as deeply as possible.
Slowly count to 10 while they hold their
   breath (if they can). This lets the
 medicine reach deep into the lungs. .
 This is referred to as a puff.
  If the doctor prescribed more than one puff of medicine,
repeat this procedure, starting with step 2. For inhaled quick-
relief medicine (Ventolin, Proventil, Atrovent), wait about one
minute between puffs. There is no need to wait between puffs
                    for other medicines.
Rinse the mouth afterward
 to help reduce unwanted
       side effects.
      When to call 911
• If the student is getting worse or
  has no improvement in 15-20 minutes
• If color changes are noted
• If they are unable to speak in full
  sentences
         At School…
• Have a Classroom Health Care Plan.
• Know where the medication is to be
  stored.
• Consider having a back-up inhaler at a
  central location.
• Remember minutes count.
• Prepared by: Mary Clark RN, NCSN
      Reviewed by: Paula Peterson APNP
                    Primary Children’s Hospital
                    Salt Lake City, Utah
• JMJ Publishers
• 1156 Wilson Ave.
• Salt Lake City, Utah 84105
• 801 467-5083
*ASTHMA SCENARIOS*
           Scenario #1
Susie has a history of asthma and
keeps her inhaler in her book
bag. She comes to the health room
complaining of chest tightness and says
she has not used her inhaler since this
morning before school. It is now lunch
time. She came to the health room
alone.
           What do you do??
DO NOT send her back to get her inhaler!

Communicate with teacher and ask that her
 book bag be brought to the health room.
 (hopefully the inhaler is there)!!

Have Susie use the inhaler as prescribed
 and observe for improvement.

Any questions/concerns call nurse
            Scenario #2
Johnny comes to the health room with a
note from his teacher telling you Johnny
needs a cough drop because his cough is
disrupting the class. He is coughing
constantly, but when you listen, his lungs
sound clear. There is a blank space on
  the
emergency card under health problems.
Ask if he has asthma

Briefly observe for shortness of
 breath.
 Is he talking freely, interacting?

Ask if he has an inhaler if history of
 asthma

Any questions/concerns call nurse
Call parent
Good Job!!!!!

				
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posted:10/19/2011
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