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Asthma at School

Role of the Teacher

Identify the high-risk students with asthma:

  • Previous life-threatening episodes
  • Three or more emergency room visits in one year
  • Prior hospitalizations within one year
  • History of non-adherence to asthma treatment regimen
  • Recurrent nighttime asthma requiring medications
  • Know the early warning signs
  • Have a copy of the students Asthma Action Plan in your classroom
  • Understand the student may feel tired, different from other students, anxious
    about easy access to medications, embarrassed about asthma, worried about
    activities that induce asthma

Asthma Facts

  • Asthma is the most common chronic disease of children
  • There are approximately 22 million people in the USA diagnosed with asthma
  • Asthma is the leading cause of school absenteeism in the United States
  • Children with uncontrolled asthma miss approximately 14 days of school per year
  • Asthma education is a vital component of asthma management
  • Asthma specialists (Allergist, Pulmonologist) are needed to care for mild
    persistent, moderate persistent and severe persistent asthma
  • If properly managed, people with asthma can live a happy, healthy, active life

Early Warning Signs

  • Low peak flows
  • Chronic cough (especially at night)
  • itchy, scratchy, sore throat
  • headache, stopped up head, sneezing
  • shortness of breath with exertion restlessness, more irritable,
    or at even rest
  • dark circles under the eyes
  • restlessness, more irritable
  • increased fatigue
  • tired, itchy watery, glassy eyes

Asthma Action Plan

An action plan is a treatment plan for worsening asthma. The action plan adjusts to the severity of symptoms so that students can control their asthma. People with asthma should have a treatment and management plan developed by their health care team. An Asthma Action Plan is a special road map to know how to take care of asthma each day.

When peak flow rates are:

Green Zone
  • Everything is all "go"
  • 80% or more of what your peak flow rate should be
Yellow Zone
  • Caution
  • 60 to 80% of what your peak flow rate should be
Red Zone
  • Medical emergency - peak flow rates are less than 50% of what it should be

Peak Flow Monitoring

A peak flow meter is a device that measures how well air moves in and out of the lungs. During an asthma episode, the airways become inflamed and narrowed. Many people who take asthma medicine daily use a peak flow meter several times a day.

How to Use the Peak Flow Meter

  • Set the marker to the bottom of the numeric scale.
  • Take a deep breath. Be sure you are standing up.
  • Place your lips tight around the mouthpiece.
  • Talk a big deep breath in.
  • Blow as hard and fast as possible. Blast the air out fast!
  • Note the final position of the marker. This is your peak flow rate.

Inhalers

Metered dose inhaler:

This is a small canister that contains the medication you need to control your asthma or relieve bronchospasms during an asthma episode (Advair HFA, Symbicort, ProAir HFA, Xopenex HFA, Albuterol HFA, Flovent HFA, Q-Var HFA, etc.). Proper inhaler technique must be performed to efficiently receive the medicine.

  1. Shake inhaler and place in your spacer. You may need to remove the inhaler from the canister if your spacer requires no case.
  2. Take 2 or 3 slow and deep warm up breaths.
  3. Sit up straight and be sure you are holding your head looking straight ahead.
  4. Slowly exhale.
  5. Place inhaler in your mouth, and then spray one spray.
  6. Slowly breathe in and hold your breath at least 10 seconds.
  7. Remove the spacer from your mouth and slowly exhale.
  8. Properly place spacer back into your mouth and slowly breathe in again.
  9. Hold your breath at least 10 seconds then slowly exhale.
  10. Wait 1 to 3 minutes and repeat as ordered by your doctor. (Be sure to shake your inhaler again!) Rinse your mouth after using anti-inflammatory medications.

Dry powdered inhalers:

This is medication that is in powder form. (Advair Diskus, Pulmicort Flexhaler, Asmanex, etc.)

  1. Breathe out slowly.
  2. Put your mouth on the mouthpiece.
  3. Take a big deep breath in real fast.
  4. Hold your breath for 10 seconds.
  5. Blow out slowly.

Recent News

SuperUser Account
/ Categories: News

New Year’s Resolutions for Asthma and Allergies

Source: Asthma and Allergy Network

Tips to help you gain better control

Are you tired of your nagging cough or runny nose? Does the thought of spring flowers immediately make you want to sneeze? Are you looking for new ways to eat healthy despite your food allergies?

Take control of your allergies and asthma in the new year. No more sleepless nights and red, itchy eyes. No more sitting on the sidelines due to your asthma. Step up to better breathing with these New Year’s tips:

1 – Make a wish list

What would you like to be able to do if asthma or allergies didn’t hold you back? Ask yourself if there is anything that you’ve been avoiding because of your allergies or asthma that you usually enjoy doing.

2 – Review your treatment plan

Schedule an appointment with your doctor apart from an emergency or acute care visit. Share your wish list and ask if there are ways to reach your goals. There is no one, perfect way to treat allergies and asthma. Shared decision making is the key to a successful outcome: Work with your doctor to find the plan that works best for you.

  • Talk with your doctor about what is and is not working with your plan. Be honest about lifestyle and economic barriers you face. Are there medication side effects you’re worried about?
  • Take your medications to the appointment and review each one with your healthcare team: Why is it prescribed? When should you take it? How much should you take? How quickly should you expect results? What should you do if you don’t think it’s working?
  • If you use an inhaler, review your inhaler technique with your healthcare team. The medication can’t work if it doesn’t get into the lungs where it belongs.
  • Do you have a written Asthma Action Plan or an Allergy and Anaphylaxis Emergency Plan? If not, ask for one.

3 – Clean your indoor air

Change or clean air filters in your heating and air conditioning system. Vacuum carpets and corners regularly to keep dust and allergens down. Consider dust-mite proof pillow and mattress encasings and an air purifier if you have pets or mold. Keep pets out of the bedroom.

4 – Plan ahead

For seasonal allergies, begin using your allergy medication 3-4 weeks before your symptoms usually appear. The earliest tree allergens are from mountain cedars, which can peak in Texas and the southwest in January; in other parts of the country tree and grass allergens typically arrive in February and March.

5 – Prevent flares

Take care of yourself. Stop smoking and stay away from smokers; go to bed one hour earlier; get plenty of exercise; eat healthy foods; drink plenty of water per day – at least 2 liters if you do not have a medical condition prohibiting this – as staying hydrated keeps mucus from forming and prevents illnesses; get the flu shot and wash your hands regularly to avoid flu and cold viruses; and use nasal washes to keep your sinuses clean and flush out germs before they take hold.

6 – Follow up

Start a daily symptom diary online or in a notebook. Track your medication use, activities and symptoms; review it at your next appointment with your healthcare provider.

7 – Be reliable and proactive

Keep the appointment! See a board-certified allergist if your treatment plan isn’t working. Practice preventive care – healthcare should be a priority even when you are not sick.

The post New Year’s Resolutions for Asthma and Allergies appeared first on Oklahoma Allergy and Asthma Clinic.

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