asthma - charlotte-mecklenburg schools...associated allergies ... outdoor and indoor pollution ......
TRANSCRIPT
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Asthma
MCAC
Mecklenburg County Asthma Coalition
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What is Asthma All About?
Usually begins in childhood but can present at any age Associated allergies21 million patients with asthma in the US, about 6 million are under 18 years oldResponsible for 8 million lost workdays in the US and leading cause of lost school daysThe more severe the asthma in childhood, the more likely it will persist into adulthood
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Risk Factors for AsthmaFamily historyAllergen exposureTobacco smoke exposureOutdoor and Indoor PollutionOccupational exposures (dust, chemicals)
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What is asthma?
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What is Asthma?
Chronic inflammation of the airways
Muscles in airways tighten
Inside lining of airway swells, and produces mucous
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Remove paper from strawPinch your noseInsert straw in your mouth and breathe in and out of your mouth several timesTake a break
How does it feel to have an asthma attack?
If you have asthma do not do this test! It could trigger an episode
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Goals of Asthma Treatment:
Prevent asthma symptomsLess use of quick relief medicine (inhaler) for symptomsNear normal lung functionParticipate in activityPrevent severe asthma attacksNo ED or hospital visits
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Treatment for asthma
Identify symptomsIdentify triggersMedications to control symptomsQuick Relievers for episodes
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Asthma symptoms
Coughing- Worse at night, after exercise, in smoky room or cold airWheezingBreathing much faster or slower Shortness of breathChest tightness
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A Lot Going On Beneath The Surface
Airway inflammation
Airflow obstructionBronchial
hyperresponsiveness
Symptoms
Slide courtesy of ALAMN - PACE program 2004
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Danger signs
No improvement with quick relief medications or improvement lasts less than 2 hoursPeak flow is 50% of normalLips or fingernails blue or grayDrowsiness, sudden agitationDifficulty breathingSweating
Call 911
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Medications
Rescue MedsController Meds
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QUICK RELIEF / RESCUE MEDICATIONS
Albuterol ProAir, MaxAir, Ventolin, Proventil
Xopenex
Rapid onset of action-peak in 15 minutesDuration of action 4-6 hours
Use these medicines to relieve asthma symptoms
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QUICK RELIEF / RESCUE MEDICATIONS
Oral SteroidsPrednisoneOrapredPrednisolone
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Controller Medications
Inhaled SteroidsFloventPulmicort
Combination MedicationsAdvairSymbicort
OtherSingulair
These medicines help control asthma but will not work quickly to relieve symptoms
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SKILLS: HOW TO USE DRUG DELIVERY DEVICES
NebulizerMetered Dose Inhaler (MDI)DiskusTurbuhalerAerolizer
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How does it feel?
“I can’t…..I’m scared……I don’t want anyone to knowIt’s all emotionalI feel guilty….
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Triggers
A trigger is anything that can make asthma worse
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TRIGGERS
AllergensIrritantsOthers
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Controlling Triggers
Identify your triggersEveryone has different triggersAvoid or stay away from triggers
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TRIGGERSAllergens
MoldsDust mitesPollens
Trees, weeds and grassesCockroachesAnimals with fur and birds
Dogs, cats
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TRIGGERSIrritants
Colds, flu, and virusesSmoke
Secondhand cigarette smokeSmoke from fireplaces, wood stoves, kerosene heaters
Outdoor air qualityStrong odors, perfumes
Scented candlesAir freshenersHousehold cleanersPaint fumes
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TRIGGERSOther triggers
ExerciseWeather changes
Cold airStrong emotion
Yelling, laughing, crying
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How to handle an asthma episodeo Sit downo Stay Calmo Focus on breathingo Get help: Administer quick relief
medicationso Call 911 if necessaryo Always monitor 20-30 min. after giving
quick relief medication
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are likely to have asthma.are likely to have asthma.
On average, 3 children in a classroom of 30
Epidemiology and Statistics Unit. Trends in Asthma Morbidity and Mortality. NYC: ALA, November 2007.
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Asthma in School
Talk to school nurseCoaches, teachers, custodians
Asthma medication authorizationBlue Card Quick Relief medication in school Asthma Action Plan in schoolRespiratory Consultant Services
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How do you know a flare-up is coming?
“Feeling funny in my chest”Restless or trouble sleepingMoody, sneezing, sore throat, tired, itchy eyes, cough, stuffy nose
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Asthma Action Plan
Yellow Zone:Mild Asthma symptoms
Green Zone: Asthma is under good control
Red Zone:This is an emergency use rescue medicineCall your Doctor, 911 or go to the emergency room
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Resources
Places to get nebulizers, spacers and Peak flow metersPCPAsthma educatorsBooks on asthmaAsthma classes
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Talking with the Doctor
What should the doctor know about my asthma?What can I learn from this visit?What can the doctor learn about my asthma during this visit?What should we watch out for?Any new ideas to share or discuss?
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Talking to the Doctor
Symptom reviewKeep an Asthma Symptom diaryLearning needs?Need a new Action Plan?
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Phone Call Scenario
Your child is not feeling well, look at their Asthma Action Plan. You check peak flow- record resultsYou give the prescribed meds (per action plan)Now what? You call the MD- What do you say? What do they need to know?
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Questions?
Thank you!