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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

Making Halloween Fun for Everyone

When a child has a food allergy, holidays can be especially tough for both the child and the child’s family, says Oklahoma Asthma & Allergy Clinic’s Board-Certified Allergist Dr. Maya Gharfeh.

“Holidays are such an important and fun part of childhood,” said Gharfeh. “One of the most important things of raising a child with a food allergy is to not let him or her feel different or isolated because of the food allergy. Instead, we adapt and still let the holiday be as fun as possible.”

The Teal Pumpkin project is an initiative created by the Food Allergy Research and Education (FARE) network to promote a safe Halloween for all including those with a food allergy. It encourages families to place a teal pumpkin on their doorstep to let families know they have non-food treats available for kids with food allergies. Those who wish to participate can register their home address on the FARE website so families can pre-plan their trick or treating.

Any food allergy is potentially life threatening. An accidental exposure through ingestion of a food allergen may quickly lead to a life-threatening situation where a child would need emergency medication – like epinephrine – for survival.

As the mother of a child with a food allergy, Gharfeh has first-hand knowledge. She suggested ideas they’ve done to make a happier Halloween for their daughter.

“We have a rule of no eating or snacking on candy while trick or treating. We go house to house and collect treats as normal. Once we get home, we dump them out and I sort the candies into safe and non-safe, specific for my daughter,” Gharfeh said.

She always keeps safe treats at home for a swap out for those unsafe ones.

“No one wants a half-full Halloween basket,” she said.

Non-food items for those swap outs could include stickers, glow in the dark bracelets and necklaces, Halloween pencils, spider rings, etc.

“Since my daughter has a nut allergy, we try to stay away from most of the chocolate candies and stick with sugar candies such as Skittles or Jolly Ranchers,” Gharfeh added. “We always carry our emergency epinephrine device with us while trick or treating to be ready for an emergency.”

Other ideas for making Halloween safer, Gharfeh says, includes hosting your own Halloween party with allergy safe food treats and non-food items as treats. She encourages families to educate their neighbors and friends about the Teal Pumpkin project. Volunteer for school positions to allow more involvement in choosing snacks/treats for holidays such as Halloween.

“Kids love painting pumpkins,” Gharfeh said. “By inviting your neighbors to participate, you have provided an opportunity to ensure some safe stops for your food allergic littles in your neighborhood.”

FARE recommends has these ideas to celebrate the teal pumpkin project:

  • Decorate your front door. Grab some teal plastic pumpkins (available at local retailers), festive decorations and transform your door. Get your whole neighborhood involved.
  • Host a virtual Halloween party. Staying inside this year? Plan a virtual party so kids can dress up and show off their costumes. Make the party even more interactive by playing fun games online like bingo or trivia.
  • Set up a craft and activity station and let the kids loose! From coloring sheets to word matches, FARE has printable resources for getting kids excited about Halloween.
  • Halloween Scavenger Hunt – get your kids outside and moving. Take a walk or drive around to try and spot sooky sights. Bonus points for spotting teal pumpkins.
  • Stay in for a scary movie night. Invite your friends and neighbors over to watch your favorite Halloween movie.
  • For food allergy friendly recipes, check out the FARE website www.foodallergy.org

If families suspect their child might have a food allergy, Gharfeh says, “Come see a board-certified allergist. We want to help not only diagnose but also to help you, your child, and your family know what a food allergy means and the steps to ensure a safe, healthy and fun childhood, even with a diagnosis of a food allergy.”Teal Pumpkin Campaign

 

The post Making Halloween Fun for Everyone appeared first on Oklahoma Allergy and Asthma Clinic.

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