OPTIMA HEALTH ASTHMA HEALTH CARE ACTION PLAN TO BE COMPLETED BY PARENT: Child’s Name _______________________________________ Date of Birth _____________ School _____________________________ Grade _______ Parent/Caregiver _________________________________ Phone (H) ________________ Phone (W) ________________ Phone (Cell) _______________ Address ______________________________________________________________ City _______________________________ Zip ________________ Emergency Contact _________________________________________________ Relationship _______________________ Phone ___________________ Name of Physician _______________________________________________________________ Office phone number ___________________________ What triggers your child’s asthma attack: (Check all that apply) Illness
Food ___________________________________________________
Allergies cat dog dust mold pollen
Other __________________________________________________
Describe the symptoms your child experiences before or during an asthma episode: (Check all that apply) Cough
TO BE COMPLETED BY PHYSICIAN: The child’s asthma is: mild persistent moderate persistent severe persistent EXERCISE-INDUCED Peak Flow Symptoms OR Monitoring Treatment WELL GREEN ZONE Controllers How > ____________ Relievers
Albuterol (with spacer/nebulizer) 2 puffs 1 minute apart q4° prn
YELLOW ZONE 1. Continue daily controller medications 2. Give albuterol 2-4 puffs (one minute between puffs) with spacer or 1 nebulizer treatment, wait 20 min.
If no improvement, repeat 2-4 puffs. Wait 20 minutes.
_____ to ______
If no improvement, repeat 2-4 puffs. This will be 3 doses in one hour, proceed to 3
3. If child returns to Green Zone:
Continue to give albuterol 2 puffs every 4 hours for 1 to 2 more days
AND Increase controller to _____________________________________________ for next 7 days
4. No physical exercise Physical exercise as tolerated If child remains in Yellow Zone for more than 1-2 days or requires albuterol more than every 4 hours, call your doctor NOW! EMERGENCY! Give albuterol (2 puffs with spacer) NOW, and repeat every 20 minutes for 2 more doses OR give 1 dose nebulized albuterol – Call your doctor Seek emergency care or call 911 if:
Child is struggling to breathe and there is no improvement 20 minutes after taking albuterol
< ____________
Chest or neck is pulling in with breathing
Student is able to perform procedure alone and may carry
Student is able to perform procedure with supervision
the inhaler with them, consult school nurse for local protocol
Student requires a staff member to perform procedure
; More than 2 absences related to asthma per month
; Albuterol is being used as a rescue medication 2 times per week at school
; The child is persistently in the Yellow Zone
_________________________________________________________
I give my permission for school personnel to follow this plan, administer medication and care to my child and contact my physician if necessary. I assume full responsibility for providing the school with prescribed medication and delivery/monitoring device. I approve this Asthma Management Plan for my child. _______________________________________
UNIVERSITÀ DEGLI STUDI DI TORINO It is my distinct pleasure to be here today. Much of my academic life has been devoted to studying heart disease and heart failure in companion animals. Initially, and with modest expectations, I strived to learn how animals with heart failure could be treated more effectively. Later, my attention became focused on the early recognition of developing heart
Avicultura romaneasca nu dauneaza sanatatii Descriere imagine:Gaini ouatoare crescute in sistem intensiv Acest articol prezinta în detaliu, cu argumente stiintifice, situatia în care se afla avicultura Ro mâniei si eventualele consecinte asupra sanatatii publice, mentionate în comentariile aparute în pre sa ultimelor saptamâni. Ca punct de plecare în analiza acestui subiect