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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

Oklahoma City Ranks Ninth for Most Challenging Cities for Allergies
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Oklahoma City Ranks Ninth for Most Challenging Cities for Allergies

The Asthma and Allergy Foundation of America (AAFA) released Feb. 23 its annual Allergy Capitals™ report for 2021 which identifies the most challenging cities for spring and fall allergies in the top 100 metropolitan areas in the United States. Oklahoma City was ranked ninth. Scranton, Pennsylvania took the top spot for 2021.

Cities are ranked based on three factors: spring and fall pollen scores, over-the-counter medicine use, and availability of board-certified allergists. Richmond, Virginia held the #1 title in 2020. The top 20 Allergy Capitals™ for 2021 are: 1. Scranton, Pennsylvania; 2. Richmond, Virginia; 3. Wichita, Kansas; 4. McAllen, Texas; 5. Pittsburgh, Pennsylvania; 6. Hartford, Connecticut; 7. Springfield, Massachusetts; 8. New Haven, Connecticut; 9. Oklahoma City, Oklahoma; 10. Bridgeport, Connecticut; 11. Albany, New York; 12. Virginia Beach, Virginia; 13. Buffalo, New York; 14. San Antonio, Texas; 15. Dayton, Ohio; 16. Riverside, California; 17. Las Vegas, Nevada; 18. Memphis, Tennessee; 19. Dallas, Texas; and 20. Louisville, Kentucky. Tulsa, Oklahoma was ranked 21.

“Allergies are a serious public health concern. More than 24 million people in the U.S. have seasonal allergic rhinitis, more commonly referred to as hay fever. Pollen allergies are a major cause. AAFA’s Allergy Capitals™ report helps more Americans make sense of the impact on individual and community health,” says Kenneth Mendez, CEO and president of AAFA. “Two notable parts of our 2021 report include the effect of COVID-19 and climate change on seasonal allergies. In 2020, fewer people felt the impact of pollen allergies. This is likely due to COVID-19 restrictions with more people staying indoors. But climate change continues to cause longer and more severe allergy seasons. If we don’t slow down the cycle, pollen production will only intensify. This means symptoms could worsen as climate change continues to evolve.”

Seasonal pollen allergies cause nasal, sinus, and other symptoms each spring through fall. Pollen can also trigger asthma attacks. Tree pollen season starts as early as January in some parts of the U.S. and continues through summer. In the fall, weed pollen including ragweed, causes symptoms. But relief is possible with the right treatment and by managing contact with pollen. Oklahoma City just had several allergy alert days in March for cedar and elm tree pollen which is always problematic in the winter months.

“It’s important people with seasonal allergies prepare. They should try their best to reduce exposure to pollen,” says Dr. Mitchell Grayson, chair of AAFA’s Medical Scientific Council and Director of the Division of Allergy and Immunology at Nationwide Children’s Hospital and The Ohio State University. “Schedule an appointment with your allergist to work on a treatment plan together to help reduce allergy symptoms when prevention is not enough.”

Treatment options include over-the-counter or prescription allergy medicines. Medications are most effective when started before allergy season begins.

“If medicines are not helping, it is important to establish care with an allergist to discuss what treatment options are best to reduce your allergy symptoms and attacks,” said Oklahoma Allergy & Asthma Board Certified Allergist (OAAC) Dr. Laura Chong.

The Allergy Capitals™ ranking is an annual research and educational project of AAFA, designed to help patients recognize, prevent and safely treat allergy symptoms. Through this ranking, AAFA raises awareness about the impact of seasonal allergies and provides helpful information designed to improve the quality of life for people who experience them. The ranking is based on local spring and fall pollen levels, use of allergy medication and the number of board-certified allergists in each metro area. Visit allergycapitals.com to see the full list, study methodology and learn more about allergy diagnosis, prevention and treatment.

To see the complete, 100-city list go to allergycapitals.com. The report lists overall annual rankings and breaks down a seasonal ranking for spring and fall.

The post Oklahoma City Ranks Ninth for Most Challenging Cities for Allergies appeared first on Oklahoma Allergy and Asthma Clinic.

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