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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

Winter Allergies Making Us Miserable
SuperUser Account
/ Categories: News

Winter Allergies Making Us Miserable

If you recently moved to Oklahoma thinking you would be safe from winter allergies, think again. Certain trees have an aggressive blooming season in the winter months. Cedar pollen can cause a myriad of symptoms including headache, conjestion, losing voice, sinus pressure, itchy eyes, post nasal drip, earaches, sore throat, and increased asthma symptoms.
OAAC’s Board-Certified Allergist Dr. Laura Chong says cedar pollen kicks in especially during the December, January and February months.
“It’s kind of an unusual allergen because most people think spring when tree pollen is wafting through the air,” she said. “Cedar pollen pollinates in the winter months catching many people by surprise.”
“Try to stay inside especially during windy days and make sure the pollen is washed off your body before you go to bed,” said Dr. Chong. “Treatments can vary for each person. Typically the first line of defense is to try over the counter antihistamines or discuss with your physician about prescription options.”
If, however, you are still struggling and miserable, it may be time to be allergy tested and a course of action of immunotherapy (allergy shots) may be in order to help build resistance to the allergen.
Ways to Reduce Your Exposure to Cedar Pollen
Dr. Chong suggests a proactive approach in dealing with cedar pollen allergies.
Install a premium, high efficiency particulate air (HEPA) filter to remove bacteria, mold and other allergens and to improve indoor air quality.
Vacuum daily and preferably with a HEPA-filter vacuum cleaner.
White vinegar is your friend (plus very cost effective). Spray air filters, vents and air returns with white vinegar. Wipe with a clean cloth periodically to remove pollen and other allergens.
On these warm Oklahoma winter days; it is tempting to open the windows for fresh air to be let inside your home. Dr. Chong recommends closing windows and doors to keep the pollen out and to drive with your car with its windows up.
Wipe down surfaces that collect pollen such as your furniture and other areas with a clean cloth and don’t forget your pets!
“Give your pets a quick wipe down to remove pollen when coming indoors,” said Dr. Chong.
After spending time outdoors in the pollen, Dr. Chong says after showering, changing clothes to remove any remaining residue will be helpful. She adds to not line-dry clothes outside when pollen counts are high.
“Check the OAAC website and social media for the daily pollen reports,” Dr. Chong said.
Website: Oklahomaallergy.com, Facebook: https://www.facebook.com/oklahomaallergyasthmaclinic/
For more information about cedar allergy, talk to your OAAC allergist.

The post Winter Allergies Making Us Miserable appeared first on Oklahoma Allergy and Asthma Clinic.

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