©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. AWESOME ASTHMA SCHOOL DAYS

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Pre-Test

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Which of these is in the respiratory system? A - Heart B - Eyes C - Liver D - Diaphragm ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. What causes wheezing sounds? A - Muscles getting tighter and airways getting smaller. B - Blowing out slowly. C - Using quick relief medicine. ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. When should someone with asthma use quick-relief medicine? A - Everyday. B - When they feel sick. ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. I have a quick-relief medicine (Albuterol, Xopenex) … A - at home. B - at school. C - both A and B. D - I don’t have asthma. ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. What is the most common early asthma symptom? A - Cough B - Wheeze C - Blue/gray lips D - None of the above ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. People with asthma should be able to exercise as much as people that don’t have asthma. A - Yes B - No ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. People with asthma should be able to sleep through the whole night without waking up, wheezing or coughing. A - Yes B - No ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Respiratory System

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. OXYGEN EXCHANGE

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved.

Belly breathing helps get more oxygen into the lungs!

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. What is Asthma? 1.Inflammation (swelling) 2.Mucus production (snot) 3.Bronchospasm (muscle tightness)

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. SYMPTOMS COUGH! Shortness of breath, tightness in the chest. Blue color, can’t talk.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. are things that make asthma worse. Remember, everyone is different! Triggers …

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Indoor Triggers Cockroaches Dust mites Furry/feathered pets Mold

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Indoor Triggers Strong smells Smoke Colds/flu

Contents of Cigarette Smoke AcetoneFormaldehyde (Nail polish remover)(Body tissue preserver) Butane Methanol Ammonia (Cigarette lighter fluid)(Rocket fuel) Carbon Monoxide Ammonia (Car exhaust fumes)(Floor/Toilet cleaner) DDT Stearic Acic (Insecticides) (Candle wax)

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. A pig’s lungs are about the same size and shape as an adult human’s lungs!

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Outdoor Triggers Pollens Cold/Hot weather Car exhaust Exercise Grilling Mowed lawn Air pollution

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. “Asthma in the Air”

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Concentration on Asthma Triggers

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Choose to Be Healthy! Maria has asthma. Let’s follow her through her day. Use the toolbox to help her make good decisions and stay in the green zone.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Toolbox Peak flow meters (with diary) Inhalers and spacers  Control medicine  Quick-relief medicine Asthma care plans S

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Maria wakes up to start her day. Which of the following should be done right away? A.Cough out mucus/snot so that lungs don’t feel so clogged. B.Measure how lungs are doing with a peak flow meter. C.Hide inhaler so mom forgets to remind Maria to take her medicine.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Answers B. Measure how lungs are doing with a peak flow meter. A.Cough out mucus/snot so that lungs don’t feel so clogged. C.Hide inhaler so mom forgets to remind Maria to take her medicine. V

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Peak Flow Diary First #________Second #________Third #________ S

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Maria eats breakfast to give herself pep. Before brushing her teeth, what’s the next step? A.Skip taking control medicine because she feels just fine. B.Use quick-relief medicine. C.Take control medicine, even though she feels OK.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Answers C. Take control medicine, even though she feels OK. B.Use quick-relief medicine. A.Skip taking control medicine because she feels just fine. R

Long-term Control Medications Decrease inflammation/swelling Advair S

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Heading for the bus, she takes a shirt with long sleeves. What else should Maria grab before she leaves? A.Control medicine/inhaler. B.Quick-relief medicine/inhaler and spacer. C.Quick-relief medicine without a spacer.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Answers B. Quick-relief medicine/inhaler and spacer. C. Quick-relief medicine without a spacer. A. Control medicine/inhaler. R

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Quick Relief Medications Loosen your muscles & stop wheezing Albuterol for Nebulizer R

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. ©1998, Respironics Inc. Without spacer With spacer S

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Where the buses park is where Maria’s friends want to play. But Maria knows better. What should she say? A.I don’t feel like playing. B.Bus fumes are bad for my asthma, so let’s go to the other side of the playground. C.The bus fumes smell bad, but I’ll be OK.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Answers B. Bus fumes are bad for my asthma, so let’s go to the other side of the playground. A. I don’t feel like playing. C. The bus fumes smell bad, but I’ll be OK. S

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Soon it will be gym class, Maria noticed the time. What should she do to keep feeling fine? A.Take out her quick-relief inhaler and remind the teacher that she needs to take it before gym class. B.Take quick relief medicine as gym class is starting. C.Don’t do anything.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Answers A. Take out her quick-relief inhaler and remind the teacher that she needs to take it before gym class. B. Take quick relief medicine as gym class is starting. C. Don’t do anything. S

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Maria heard her friend cough and wheeze during gym class. What should be done before too much time passed? A.Have the friend sit down while someone gets help. B.Tell a teacher. C.Wait until the teacher notices.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Answers A. Have the friend sit down while someone gets help. B.Tell a teacher. C.Wait until the teacher notices. R

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. To help a friend: Be calm. Have the person sit down. Ask someone else to go get help. Remind the person to belly breathe. R

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. CALL 911! Lips/fingernails change color (blue or gray). Skin between the ribs is pulling in. Nostrils open wider – nasal flaring. Grunting. S

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Maria went to her friend’s house after school. The parents are smoking, what should she do to keep her cool? A.Take an extra dose of quick-relief medicine. B.Suggest playing outside or go home. C.Watch TV with the parents.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Answers B.Suggest playing outside or go home. A.Take quick relief medicine when symptoms start. C. Watch TV with the parents. S

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Later that night Maria felt tightness in her chest. Her peak flow was low, what should she do next? A.Go to bed and get extra rest. B.Take quick relief medicine. C.Follow the asthma care plan.

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Answers C. Follow the asthma care plan. B.Take quick relief medicine. A.Go to bed and get extra rest. R

Is the Asthma in Control? Is a "quick-relief inhaler" needed more than TWO TIMES A WEEK? Do you wake up at night with asthma more than TWO TIMES A MONTH? Rules of Two TM is a registered trademark of the Baylor Health Care System. ©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved.

Answering Asthma

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Post-Test

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. Which of these is in the respiratory system? A - Heart B - Eyes C - Liver D - Diaphragm ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. What causes wheezing sounds? A - Muscles getting tighter and airways getting smaller. B - Blowing out slowly. C - Using quick relief medicine. ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. When should someone with asthma use quick-relief medicine? A - Everyday. B - When they feel sick. ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. I have a quick-relief medicine (Albuterol, Xopenex) … A - At home. B - At School. C - Both A and B. D - I don’t have asthma. ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. What is the most common early asthma symptom? A - Cough. B - Wheeze. C - Blue/gray lips. D - None of the above. ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. People with asthma should be able to exercise as much as people that don’t have asthma. A - Yes B - No ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. People with asthma should be able to sleep through the whole night without waking up, wheezing or coughing. A - Yes B - No ?

©2004 Children’s Hospital and Health System / FAM Allies. All rights reserved. THANKS!