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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
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Surviving the Heat with Allergies and Asthma

Summer with Asthma and Allergies

Even though we’ve had a short reprieve from the summer heat, hot temperatures are on the way back. If you have allergies, scorching summer heat intensifies the release of allergens. Pollen, mold spores and dust mites have been wreaking havoc on those who battling allergies and asthma.

If you are following the Oklahoma Allergy & Asthma Clinic pollen and mold count, the readings have had days of high grass pollen and mold. High humidity has created an ideal environment for mold and increased exposure to mold spores. Rain has led to the warm season grasses to flourish and grow. Then, weekend warriors and lawn services continue to mow lawns and outdoor areas. These high-count days bring on respiratory issues for those with pollen and mold allergies.

For those with asthma, extreme heat might even affect you more. Breathing in hot and/or humid air can cause airways to narrow and tighten. Humidity can cause common allergens such as mold and dust mites to thrive which can aggravate allergic asthma.

Not drinking enough? Dehydration and an electrolyte imbalance secondary to overheating can worsen asthma symptoms. Oklahoma City has already had several air quality alerts which means air pollution is worse and not good for those with breathing and lung issues like asthma. Air particles irritate sensitive airways.

It’s very important to manage exposure to heat, humidity and air pollution to reduce asthma and allergy symptoms during these summer heat spells. Try to stay inside during peak pollen times (early mornings and evenings). Keep windows and doors closed to keep grass pollen outside. Wear a mask if you have to mow your lawn. Use an air purifier to remove up to 99.97 percent of allergens including dust mites in the air.

Air conditioning can also help reduce allergy symptoms in the hot summer months. It filters and circulates air and removes the airborne allergens such as pollen, mold spores and dust mites from indoor spaces. Be sure to regularly maintain your air conditioner by regularly cleaning the unit and replacing the filters.

If you are struggling with your asthma and/or allergens in this heat, you are not alone. Your OAAC providers are here to support you in every step of your journey. The good news is…fall is on the way. The bad news is…it’s allergy season every day in Oklahoma.

The post Surviving the Heat with Allergies and Asthma appeared first on Oklahoma Allergy and Asthma Clinic.

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