Astma dziecięca
Charakterystyka, pielęgnacja i opieka

Astma dziecięca, dotykająca około 10% populacji w wieku 0-14 lat, jest przewlekłą chorobą zapalną dróg oddechowych charakteryzującą się obturacją, nadreaktywnością oskrzeli oraz zwiększoną produkcją śluzu. Objawy kliniczne obejmują świszczący oddech, duszność, kaszel i uczucie ucisku w klatce piersiowej, które mogą nasilać się nocą lub podczas wysiłku. Diagnostyka opiera się na wywiadzie, badaniach czynnościowych (spirometria, pulsoksymetria, pomiar szczytowego przepływu wydechowego) oraz testach alergicznych. Leczenie farmakologiczne dzieli się na leki kontrolujące długoterminowo, takie jak wziewne kortykosteroidy (np. flutykazon), długo działające beta-agonisty, modyfikatory leukotrienów (montelukast) i leki biologiczne, oraz leki doraźne, głównie krótko działające beta-agonisty (salbutamol: 6 wdechów u dzieci <6 lat, 12 wdechów u dzieci >6 lat). Kluczowe jest indywidualne dostosowanie terapii, monitorowanie skuteczności i stopniowe modyfikowanie dawki leków w celu optymalnej kontroli astmy i minimalizacji działań niepożądanych.

Astma dziecięca – charakterystyka

Astma dziecięca jest najczęstszą przewlekłą chorobą wieku dziecięcego, która dotyka około 10% dzieci i młodzieży w wieku 0-14 lat, stanowiąc znaczące wyzwanie dla opieki zdrowotnej na całym świecie12. Jest to przewlekła choroba zapalna dróg oddechowych, powodująca ich zwężenie, nadreaktywność, zwiększoną produkcję śluzu i obrzęk błony śluzowej34. Można ją porównać do słomki, która zostaje ściśnięta, co utrudnia przepływ powietrza, prowadząc do trudności w oddychaniu5.

U pacjentów z astmą występuje szereg objawów oddechowych, takich jak świszczący oddech, duszność, kaszel i uczucie ucisku w klatce piersiowej6. Dzieci z astmą są szczególnie wrażliwe na czynniki wyzwalające, ponieważ ich mniejsze drogi oddechowe łatwiej ulegają obrzękowi i wypełnieniu śluzem7. Objawy astmy mogą utrudniać aktywności fizyczne, sport, zabawę, a nawet zakłócać sen, co wpływa na jakość życia dzieci89.

Astma może rozpocząć się w każdym wieku, ale najczęściej pojawia się w dzieciństwie, zazwyczaj przed 5 rokiem życia, kiedy układ odpornościowy dziecka wciąż się rozwija10. Chociaż astmy nie można wyleczyć, można ją skutecznie kontrolować, aby zapobiec zaostrzeniom, minimalizować objawy i utrzymywać normalne funkcje płuc przy jednoczesnym ograniczeniu działań niepożądanych leków11.

Patofizjologia astmy dziecięcej

Astma dziecięca jest złożonym schorzeniem charakteryzującym się przewlekłym zapaleniem dróg oddechowych, które obejmuje kompleksowe interakcje między czynnikami genetycznymi, środowiskowymi i immunologicznymi12. Dokładna przyczyna astmy nie jest znana, ale uważa się, że jest w pewnym stopniu dziedziczna13.

Podczas zaostrzenia astmy drogi oddechowe puchną, kurczą się i zwężają światło, a często są zatykane przez śluz i wydzieliny. Prowadzi to do duszności, szybkiego płytkiego oddychania i uczucia duszenia się14. U dziecka z astmą drogi oddechowe reagują nadmiernie na różne bodźce, powodując skurcz mięśni gładkich oskrzeli, obrzęk śluzówki i nadmierną produkcję śluzu15.

Pewne czynniki wyzwalające mogą powodować nasilenie objawów, znane jako ataki astmy lub zaostrzenia16. Do częstych czynników wyzwalających należą kurz, sierść zwierząt, pyłki, pleśń, zanieczyszczenia, infekcje, wysoka wilgotność, a nawet stres17. Każde dziecko ma swoje indywidualne czynniki wyzwalające, a świadomość tych czynników jest kluczowa dla skutecznego zarządzania chorobą18.

W astmie występują również zmiany strukturalne dróg oddechowych, nazywane „remodelingiem dróg oddechowych”, które mogą wpływać na długoterminową funkcję płuc. Prawidłowe leczenie astmy ma na celu zmniejszenie przewlekłego uszkodzenia poprzez ten remodeling, a także zmniejszenie prawdopodobieństwa zgonu związanego z atakiem astmy i poprawę jakości życia19.

Objawy i diagnostyka astmy dziecięcej

Rozpoznanie astmy u dzieci może być trudne. Lekarz bierze pod uwagę objawy, ich częstotliwość oraz historię medyczną dziecka. Mogą być potrzebne badania w celu wykluczenia innych schorzeń i zidentyfikowania najbardziej prawdopodobnej przyczyny objawów20.

Objawy astmy u dzieci

Do typowych objawów astmy u dzieci należą:

  • Uporczywy kaszel, często nasilający się w nocy lub przy wysiłku21
  • Słyszalne świsty podczas oddychania22
  • Duszność23
  • Uczucie ucisku w klatce piersiowej2425
  • Trudności w wykonywaniu większości aktywności fizycznych26
  • Niespokojny sen z powodu duszności27

Podczas oceny dziecka z podejrzeniem astmy, ważne jest zebranie informacji o historii rodzinnej astmy lub alergii, ogólnym zachowaniu dziecka (zmęczenie, zmniejszona aktywność, problemy ze snem, niepokój), a także o wzorcach oddychania, takich jak kaszel w nocy lub wczesnym rankiem, duszność lub szybki oddech28.

Proces diagnostyczny

Diagnoza astmy u małych dzieci może być trudna, ponieważ objawy mogą być podobne do innych schorzeń. Diagnostyka obejmuje kombinację wywiadu rodzinnego i indywidualnego, badania czynności płuc oraz historii stosowania leków przeciwastmatycznych29.

Dzieci często poddawane są badaniom takim jak:

  • Spirometria – do oceny czynności płuc30
  • Pulsoksymetria – do pomiaru nasycenia krwi tlenem31
  • Pomiar szczytowego przepływu wydechowego – do monitorowania ciężkości astmy32
  • Testy alergiczne – do identyfikacji czynników wyzwalających astmę33

Dziecko z częstymi świstami podczas przeziębień lub infekcji dróg oddechowych ma większe prawdopodobieństwo zachorowania na astmę, jeśli: rodzic ma astmę, dziecko ma objawy alergii, w tym alergiczną chorobę skóry (egzemę), dziecko ma świsty nawet bez przeziębienia lub innej infekcji34.

Leczenie astmy dziecięcej

Optymalne leczenie astmy u dzieci zależy od wielu czynników, w tym wieku dziecka, nasilenia i częstości ataków astmy oraz zdolności do prawidłowego stosowania przepisanych leków. W większości przypadków leki mogą kontrolować objawy, umożliwiając dziecku pełne uczestnictwo we wszystkich aktywnościach, w tym sportach35.

Podejście stopniowe do leczenia astmy

Leczenie astmy obejmuje zarówno zapobieganie objawom, jak i leczenie trwającego ataku astmy36. Aktualne wytyczne podkreślają cztery ważne komponenty opieki nad astmą:

  1. Ocena i monitorowanie
  2. Edukacja
  3. Kontrola czynników środowiskowych i chorób współistniejących
  4. Leczenie farmakologiczne37

Celem jest znalezienie odpowiedniego rodzaju i dawki leków potrzebnych do kontrolowania astmy dziecka, jednocześnie zapobiegając efektom ubocznym. Prowadzi się rejestr skuteczności aktualnych leków dziecka w kontrolowaniu objawów. Na podstawie tego rejestru lekarz może „zwiększyć” leczenie do wyższej dawki lub dodać inny rodzaj leku. Jeśli astma dziecka jest dobrze kontrolowana, lekarz może „zmniejszyć” leczenie poprzez redukcję leków. Jest to znane jako stopniowe podejście do leczenia astmy38.

Kategorie leków stosowanych w astmie dziecięcej

Farmakologiczne leczenie astmy obejmuje stosowanie dwóch głównych kategorii leków:

1. Leki kontrolujące długoterminowo – są przyjmowane codziennie w perspektywie długoterminowej, aby kontrolować astmę. Mogą być stosowane sezonowo, jeśli objawy astmy u dziecka nasilają się w określonych porach roku39. Do tej kategorii należą:

  • Wziewne kortykosteroidy (np. flutykazon) – zmniejszają zapalenie dróg oddechowych w czasie. Codzienne leczenie wziewnym kortykosteroidem zmniejsza częstość występowania objawów, poprawia jakość życia i zmniejsza ryzyko poważnych ataków astmy4041
  • Długo działające beta-agonisty
  • Modyfikatory leukotrienów (np. montelukast/singlair)42
  • Teofilina
  • Leki biologiczne4344

2. Leki doraźne (ratunkowe) – stosowane są do szybkiego łagodzenia objawów astmy. Krótko działające beta-agonisty (np. salbutamol) są rodzajem leków rozszerzających oskrzela. Szybko łagodzą objawy, tymczasowo relaksując mięśnie wokół zwężonych dróg oddechowych, umożliwiając większy przepływ powietrza45.

Kategoria leku Przykłady Działanie Zastosowanie
Wziewne kortykosteroidy Flutykazon, budezonid Zmniejszają zapalenie dróg oddechowych Leczenie długoterminowe, zapobieganie objawom
Krótko działające beta-agonisty Salbutamol (6 wdechów u dzieci poniżej 6 lat, 12 wdechów u dzieci powyżej 6 lat) Rozszerzają oskrzela Szybka ulga podczas ataku
Modyfikatory leukotrienów Montelukast (Singlair) Blokują działanie leukotrienów Prewencja u dzieci z częstą astmą epizodyczną
Kortykosteroidy doustne Prednizolon Silne działanie przeciwzapalne Ostre zaostrzenia astmy

Ogólna zasada podawania salbutamolu przez inhalator z dozownikiem (MDI): dzieci poniżej 6 roku życia powinny otrzymać 6 wdechów salbutamolu (100 mcg/wdech), a dzieci powyżej 6 roku życia wymagają 12 wdechów46.

Wziewne kortykosteroidy powinny być standardem opieki przy wypisie, jednak mogą być stosowane razem z ogólnoustrojową terapią kortykosteroidową podczas hospitalizacji47. Prednizolon jest również podawany doustnie w ostrych zaostrzeniach astmy48.

Plany działania w astmie

Wszystkie dzieci z astmą powinny mieć plan działania w astmie (asthma action plan), który jest aktualizowany podczas każdej wizyty w gabinecie i weryfikowany podczas każdej nagłej lub nieplanowanej wizyty4950. Plan działania w astmie to pisemny dokument, który zawiera wszystkie informacje potrzebne do kontrolowania astmy u dziecka w jednym miejscu51.

Plan działania w astmie pomaga rodzicom, szkole i opiekunom w przedszkolu zrozumieć i kontrolować astmę u dzieci52. Określa on znane czynniki wyzwalające u pacjenta i sposób postępowania z pojawiającymi się objawami53.

Plan działania w astmie powinien zawierać:

  • Przepisane dziecku leki kontrolujące i doraźne54
  • Co robić, gdy u dziecka występuje atak astmy55
  • Jak identyfikować sygnały ostrzegawcze ataku astmy56
  • Czynniki wyzwalające astmę u dziecka57
  • Informacje kontaktowe w nagłych wypadkach58
  • Wytyczne dotyczące leczenia przed aktywnością fizyczną59

Korzystanie z planu działania w astmie jest jedną z najlepszych rzeczy, jakie można zrobić, aby pomóc dziecku pozostać zdrowym z astmą. Pomaga to zmniejszyć liczbę nagłych wizyt u lekarza i w szpitalu60.

Podobnie jak domowy plan działania w astmie, szkolny plan opieki nad astmą wykorzystuje strefy do zarządzania objawami astmy. Szkolny plan opieki może obejmować leczenie przed ćwiczeniami/aktywnością w zielonej strefie, aby zapobiec objawom61.

Pielęgniarskie podejście do opieki nad dzieckiem z astmą

Pielęgniarki odgrywają kluczową rolę w opiece nad dziećmi z astmą, wykonując szereg zadań od oceny stanu pacjenta po edukację i wsparcie zarówno dzieci, jak i ich rodzin62.

Ocena pielęgniarska

Pierwszym krokiem w opiece pielęgniarskiej jest ocena pielęgniarska, podczas której pielęgniarka zbiera dane fizyczne, psychospołeczne, emocjonalne i diagnostyczne63. Ocena pacjenta z astmą obejmuje:

  • Ocenę stanu oddechowego pacjenta poprzez monitorowanie nasilenia objawów64
  • Ocenę szmerów oddechowych65
  • Ocenę szczytowego przepływu wydechowego pacjenta66
  • Ocenę poziomu nasycenia tlenem za pomocą pulsoksymetru67
  • Monitorowanie parametrów życiowych pacjenta68
  • Identyfikację czynników wyzwalających astmę i sygnałów ostrzegawczych69

Podczas oceny dziecka z astmą można zauważyć oznaki niewydolności oddechowej. Dziecko może nie być w stanie mówić pełnymi zdaniami lub może odczuwać duszność po przejściu krótkiego dystansu70.

Należy zwracać uwagę na cichą klatkę piersiową. Jeśli nie ma słyszalnego świstu i nie ma wyraźnych szmerów oddechowych, może to oznaczać, że dziecko ma ciężki atak astmy. Jest to sytuacja zagrażająca życiu71.

Diagnozy pielęgniarskie

Na podstawie zebranych danych formułowane są diagnozy pielęgniarskie, które specyficznie odnoszą się do wyzwań związanych z astmą, opierając się na klinicznej ocenie pielęgniarki i zrozumieniu unikalnego stanu zdrowia pacjenta72. Diagnozy pielęgniarskie odpowiednie dla pacjenta z astmą obejmują:

  • Nieskuteczne oczyszczanie dróg oddechowych związane z obturacją z powodu zwężonego światła oskrzeli i gęstego śluzu73
  • Zaburzenie wymiany gazowej związane ze zmienionym dostarczaniem wdychanego tlenu74
  • Lęk związany z postrzeganym zagrożeniem życia75

Interwencje pielęgniarskie

Pielęgniarka wykonuje następujące interwencje terapeutyczne:

  • Ocena wywiadu – uzyskanie historii reakcji alergicznych na leki przed podaniem leków76
  • Ocena stanu oddechowego – monitorowanie nasilenia objawów, szmerów oddechowych, szczytowego przepływu, pulsoksymetrii i parametrów życiowych77
  • Ocena leków – identyfikacja leków, które pacjent obecnie przyjmuje78
  • Terapia farmakologiczna – podawanie leków zgodnie z zaleceniami i monitorowanie odpowiedzi pacjenta na leki79
  • Terapia płynami – podawanie płynów, jeśli pacjent jest odwodniony80

W celu poprawy drożności dróg oddechowych i ich oczyszczania można wykonać następujące interwencje:

  • Ocena parametrów życiowych i oddychania co cztery godziny (lub rzadziej)
  • Odsysanie wydzielin flegmy i plwociny w razie potrzeby
  • Dostarczanie dodatkowego tlenu
  • Umieszczenie pacjenta w optymalnej pozycji do efektywnego oddychania
  • Podawanie przepisanych leków (np. nebulizatory, leki rozszerzające oskrzela, steroidy i inhalatory)81

Ponadto, należy zapewnić pacjentowi odpowiednie wsparcie psychologiczne. Plan opieki w astmie dotyczący lęku może pomóc pacjentowi w rozwijaniu umiejętności radzenia sobie, minimalizowaniu objawów związanych z lękiem oraz ustanowieniu spokojniejszego zachowania82.

Edukacja pacjenta i rodziny

Edukacja jest kluczowym elementem opieki nad pacjentem z astmą. Pielęgniarki mogą wspierać pacjentów w zarządzaniu chorobą, zapewniając edukację na temat objawów, czynników wyzwalających i leków83.

Edukacja na temat astmy

Edukacja na temat astmy powinna obejmować:

  • Informacje o astmie jako chorobie przewlekłej zapalnej84
  • Cel i działanie leków85
  • Czynniki wyzwalające do unikania i jak to robić86
  • Właściwa technika inhalacyjna87
  • Monitorowanie szczytowego przepływu88

Ważne jest, aby edukacja koncentrowała się na nauczaniu pacjentów o znaczeniu rozpoznawania własnego poziomu kontroli i oznak postępująco pogarszających się objawów astmy89.

Edukacja powinna być dostosowana do potrzeb rodziny. Należy uzyskać aktualne materiały edukacyjne dla pacjenta w oparciu o diagnozę, czynniki przyczynowe, poziom edukacji i tło kulturowe90.

Technika inhalacyjna i stosowanie leków

Jedną z największych przeszkód w życiu bez objawów jest niewłaściwa technika inhalacyjna91. Pielęgniarki powinny sprawdzić, czy dzieci prawidłowo używają inhalatorów i komór inhalacyjnych oraz czy one (i ich rodzice) rozumieją, co robi każdy z nich92.

Komory inhalacyjne (spacery) są tak samo skuteczne jak nebulizatory i powinny być stosowane u dzieci w każdym wieku93. Komora inhalacyjna powinna być stosowana u dzieci w każdym wieku, w tym u nastolatków, za każdym razem, gdy używają inhalatora z dozownikiem (MDI)94.

Rodzice często mają trudności z przestrzeganiem zaleceń dotyczących zarządzania astmą, takich jak identyfikacja i unikanie czynników wyzwalających oraz prawidłowe stosowanie urządzeń inhalacyjnych. W rezultacie wiele dzieci doświadcza zaostrzeń, które mogą znacząco wpłynąć na ich jakość życia i dobre samopoczucie, czego można by uniknąć95.

Unikanie czynników wyzwalających

Kontrolowanie środowiska jest niezbędne, aby zapobiec nawracającym atakom96. Każda osoba będzie miała swoje własne czynniki wyzwalające astmę. Do częstych czynników wyzwalających należą kurz, sierść zwierząt, pyłki, pleśń, zanieczyszczenia, infekcje, wysoka wilgotność, a nawet stres97.

Pielęgniarki powinny edukować pacjentów na temat kontroli środowiska i unikania alergenów. Ekspozycje środowiskowe i czynniki drażniące mogą odgrywać istotną rolę w zaostrzeniu objawów98.

Rodzice powinni pomóc dziecku w zrozumieniu, co wywołuje ataki astmy i jak unikać takich sytuacji. Rodzice powinni rozumieć, że mogą być konieczne zmiany w stylu życia i środowisku, w tym dotyczące zwierząt domowych i narażenia na dym papierosowy99.

Astma dziecięca w środowisku szkolnym

Szkoła przyjazna astmie to taka, która dokłada starań, aby stworzyć bezpieczne i wspierające środowisko edukacyjne dla uczniów z astmą. Mają one politykę i procedury, które pozwalają uczniom skutecznie zarządzać swoją astmą100.

Szkoła powinna wiedzieć, czy dziecko ma astmę. W ten sposób dziecko może korzystać z programów zdrowotnych, które pomogą utrzymać astmę pod kontrolą101.

Plany opieki zdrowotnej w szkole

Szkolny plan opieki zdrowotnej to pisemny zestaw dokumentów, który opisuje stan medyczny i potrzeby dziecka102. Indywidualny plan opieki zdrowotnej (IHCP) określa, co szkoła zrobi, aby stworzyć i utrzymać bezpieczne środowisko szkolne dla ucznia z astmą103.

Plan opieki zdrowotnej szkoły dziecka może zawierać:

  • Objawy ataku astmy lub reakcji alergicznej
  • Listę wszystkich czynników wyzwalających astmę i alergii
  • Plan działania w astmie i/lub plan działania w anafilaksji
  • Formularz autoryzacji leków
  • Formularz dostosowania specjalnych posiłków dietetycznych w przypadku alergii pokarmowych
  • Informacje o tym, jaki personel zostanie przeszkolony i w jaki sposób
  • Informacje o zatrudnianiu i szkoleniu nauczycieli zastępczych
  • Informacje o tym, kto będzie zajmował się obowiązkami pielęgniarki szkolnej, gdy jej nie ma na miejscu
  • Obowiązki rodzica, dziecka, pielęgniarki, nauczyciela i innego personelu szkolnego104

Pisemny szkolny plan opieki zdrowotnej pomaga rodzicom, dziecku i personelowi szkolnemu zrozumieć rolę każdego z nich w zapewnieniu bezpieczeństwa i opieki dziecku podczas pobytu w szkole105.

Rola pielęgniarki szkolnej

Biuro zdrowia szkolnego zapewnia różne usługi dla dzieci w szkole, w tym podawanie leków i edukację106. Pielęgniarki szkolne odgrywają kluczową rolę w zarządzaniu astmą u dzieci w środowisku szkolnym.

Pielęgniarki powinny podkreślać przestrzeganie zalecanej terapii, środki zapobiegawcze i potrzebę utrzymywania wizyt kontrolnych u lekarzy. Powinny uczyć pacjentów, jak wdrażać plan działania i jak i kiedy szukać pomocy107.

Należy udostępnić plan działania w astmie dziecka nauczycielom, rodzinie, przyjaciołom i opiekunom. Zapewni to, że każdy, kto opiekuje się dzieckiem, rozumie, jak dbać o jego astmę108.

Zaostrzenia astmy i postępowanie w stanach nagłych

Zaostrzenie astmy, znane również jako atak astmy, odnosi się do wzrostu objawów powyżej normalnego poziomu danej osoby w sposób, który zakłóca normalne aktywności. Ataki astmy mogą narastać przez kilka dni lub mogą pojawić się nagle109.

Rozpoznawanie zaostrzenia astmy

Po tym, jak dziecko miało kilka zaostrzeń, rodzice mogą zacząć zauważać, kiedy zbliża się kolejne110. Dziennik astmy może pomóc przewidzieć, czy zbliża się zaostrzenie, umożliwiając śledzenie objawów astmy (kiedy występują), potrzeby leków i innych czynników111.

Objawy zaostrzenia astmy obejmują:

  • Ciągły kaszel
  • Trudności w oddychaniu
  • Świszczący oddech
  • Kaszel nie ustępujący po podaniu leku ratunkowego
  • Potliwość lub skargi na ból w klatce piersiowej
  • Niebieski kolor wokół ust dziecka112

Jeśli dziecko znajduje się w ŻÓŁTEJ STREFIE, ma łagodne objawy: problemy z oddychaniem, świszczący oddech, częsty kaszel, ucisk w klatce piersiowej, niemożność wykonywania aktywności113.

Jeśli dziecko znajduje się w CZERWONEJ STREFIE, jest to stan nagły/AWARYJNY z ciężkimi objawami: stale kaszle, walczy o oddech, ma problemy z mówieniem (mówi tylko 3-5 słów), skóra klatki piersiowej i/lub szyi wciąga się przy oddychaniu, usta/paznokcie są szaro-niebieskie114.

Postępowanie w nagłych przypadkach astmy

Początkowe postępowanie u dziecka, które zgłasza się na SOR z ostrym zaostrzeniem astmy, obejmuje leki rozszerzające oskrzela i steroidy115116.

Podczas ataku astmy:

  • Zachowaj spokój i przejrzyj instrukcje lekarza
  • Podaj leczenie salbutamolem
  • Oferuj dziecku częste picie wody lub soku. Płyny pomagają utrzymać śluz wilgotny i luźny
  • Jeśli dziecko kaszle, zachęcaj je do odkrztuszania śluzu i wypluwania go w celu oczyszczenia dróg oddechowych
  • Podawaj leki przepisane przez lekarza zgodnie z zaleceniami
  • Niech dziecko odpoczywa spokojnie117

Należy szukać pomocy medycznej, jeśli:

  • Dziecko ma zwiększone trudności w oddychaniu, które nie ustępują po podaniu salbutamolu lub innych leków ratunkowych w planie astmy dziecka
  • Dziecko szybko oddycha
  • Dziecko nie może przyjmować leków lub płynów doustnie
  • Dziecko wielokrotnie kaszle, aż do wymiotów
  • Klatka piersiowa niemowlęcia/małego dziecka zapada się podczas oddychania
  • Dziecko nadal ma świszczący oddech, ciężko oddycha lub kaszle, mimo że podano leki ratunkowe
  • Dziecko poci się lub skarży na ból w klatce piersiowej
  • Dziecko ma niebieski kolor wokół ust
  • Klatka piersiowa dziecka zapada się, gdy wdycha powietrze118

Astma dziecięca i jakość życia

Astma może znacząco wpłynąć na jakość życia dziecka i całej rodziny. Jeśli astma nie jest dobrze kontrolowana, może powodować szereg problemów i powikłań, w tym ciężkie ataki astmy, opuszczanie zajęć szkolnych, częste wizyty w szpitalu, a nawet trwałe uszkodzenie płuc119.

Astma a codzienne funkcjonowanie

Skutki zaostrzenia astmy mogą utrzymywać się przez wiele dni, a często duszność zakłóca codzienne aktywności i życie społeczne pacjenta120. Astma może utrudniać dzieciom zabawę lub uprawianie sportu121.

Astma dzieci wpływa na całą rodzinę122. Częste wizyty w SOR związane z astmą mogą utrudniać dziecku uczęszczanie do szkoły oraz powodować niepokój rodziców123.

Kontrolowanie astmy poprawia zdrowie i jakość życia dziecka. Dziecko z dobrze kontrolowaną astmą może łatwo biegać i bawić się, chodzić do szkoły każdego dnia i spać bez kaszlu124.

Wsparcie psychologiczne

Młodzież może być zagrożona rozwijaniem zaburzeń lękowych, gdy istnieją przewlekłe schorzenia, takie jak astma125. Wielu pacjentów, którzy doświadczyli zaostrzenia astmy, mówi, że czuli się, jakby się dusili i że bali się, że mogą umrzeć126.

Pacjenci z astmą mają znacznie zwiększone ryzyko myśli samobójczych, prób i śmiertelności. Należy przeprowadzać badania przesiewowe w kierunku samobójstwa i w razie potrzeby kierować pacjentów do odpowiednich specjalistów zdrowia psychicznego127.

Należy ocenić przestrzeganie zaleceń dotyczących samozarządzania (plan działania w astmie) i skuteczność umiejętności radzenia sobie; zachęcać do wyrażania uczuć, oczekiwań i obaw związanych z zarządzaniem objawami, jakością życia i dobrostanem128.

Choroby współistniejące, takie jak zapalenie zatok, otyłość, choroba refluksowa przełyku i zaburzenia psychiczne, mogą przyczyniać się do słabej kontroli objawów i mogą wymagać dodatkowych usług specjalistycznych w celu zarządzania leczeniem129.

Postępy w leczeniu astmy dziecięcej

Badania i innowacje w dziedzinie astmy dziecięcej przynoszą nowe podejścia do jej leczenia i zarządzania. W tym rozdziale omówimy niektóre z najnowszych postępów w leczeniu astmy dziecięcej.

Multidyscyplinarne podejście do leczenia

Wielodyscyplinarne podejście maksymalizuje wiedzę specjalistyczną w każdym obszarze, aby znacznie poprawić wczesną diagnozę i leczenie dzieci z astmą130.

Kluczowym elementem specjalistycznej opieki jest multidyscyplinarny zespół składający się z wielu specjalistów, w tym pielęgniarek specjalistycznych, psychologów, fizjologów i farmaceutów131.

W Wielospecjalistycznej Klinice Astmy (MAC) opiekę otrzymują dzieci z trudną do leczenia i ciężką astmą, gdy leki i standardowe terapie nie pomogły132.

Nowoczesne leki biologiczne

Leczenie dzieci z bardziej uporczywą astmą, którą trudno kontrolować, może wymagać innych leków oprócz wyżej opisanych. Należą do nich leki biologiczne133.

Nowsze strategie obejmują stosowanie przeciwciała anty-immunoglobuliny E (omalizumab) lub przeciwciał monoklonalnych IL-5 (mepolizumab, benralizumab) lub przeciwciał monoklonalnych przeciwko receptorowi alfa IL-4 (dupilumab)134.

Leczenie ciężkiej astmy może obejmować antybiotyki do leczenia infekcji bakteryjnych, wziewne kortykosteroidy i niesteroidowe leki przeciwastmatyczne, które działają na zapalenie, lub leki biologiczne, które precyzyjnie wskazują specyficzny rodzaj zapalenia, który uważa się za wyzwalacz objawów astmy135.

Technologie cyfrowe w kontroli astmy

Zarządzanie astmą dziecięcą zmienia się z czasem, z nowościami w zakresie technologii i struktury usług136. Nowoczesne technologie mogą wspierać monitorowanie i kontrolę astmy u dzieci.

Centrum Astmy Dziecięcej jest wyposażone w najnowocześniejszy sprzęt i technologię do wykrywania astmy u dzieci już od 2 roku życia137.

Wcześniejsza diagnoza i bardziej skuteczne zarządzanie tą grupą wiekową zmniejsza liczbę przypadków niezdiagnozowanej astmy i pomaga znacznie zmniejszyć liczbę wizyt na pogotowiu przez dzieci z astmą138.

Zapobieganie zaostrzeniom astmy

Zapobieganie zaostrzeniom astmy jest kluczowym elementem skutecznego zarządzania chorobą. Obejmuje to regularne monitorowanie, przestrzeganie zaleceń dotyczących leków i unikanie czynników wyzwalających139.

Regularne monitorowanie

Skuteczne zarządzanie astmą wymaga monitorowania stanu choroby w czasie. Obejmuje to świadomość częstotliwości i nasilenia objawów dziecka, a także wszystkiego, co wydaje się je wywoływać140.

Dzieci z astmą powinny być poddawane przeglądom dwa razy w roku, aby wszelkie zmiany mogły zostać odnotowane, a leczenie dostosowane w razie potrzeby141.

Wszystkie osoby młode z astmą powinny mieć przeglądy astmy co najmniej raz w roku142.

Regularne wizyty kontrolne są niezbędne do zapewnienia kontroli i odpowiedniego dostosowania leczenia. Ogólnie rzecz biorąc, pacjenci powinni być oceniani co 1-6 miesięcy. Podczas każdej wizyty należy sprawdzać przestrzeganie zaleceń, kontrolę środowiska i choroby współistniejące143.

Przestrzeganie zaleceń dotyczących leków

Słabe przestrzeganie zaleceń jest głównym problemem w leczeniu astmy dziecięcej i kilka czynników odgrywa w tym rolę144. W przypadku dzieci z astmą, badania wykazały, że przestrzeganie zaleceń często wynosi poniżej 50%145.

Pomóż dziecku przestrzegać planu zarządzania astmą i przyjmować leki kontrolujące zgodnie z zaleceniami146.

Wyjaśnianie rodzicom, jak działa każdy z leków ich dzieci i regularne sprawdzanie techniki inhalacyjnej mogłoby pomóc im wspierać dzieci w przestrzeganiu zaleceń147.

Unikanie czynników środowiskowych

Podejmowanie kroków w celu zmniejszenia narażenia dziecka na czynniki wyzwalające astmę zmniejszy możliwość wystąpienia ataków astmy. Kroki mające na celu uniknięcie czynników wyzwalających różnią się w zależności od tego, co wywołuje astmę u dziecka148.

Ważne jest, aby znać czynniki wyzwalające astmę u dziecka, aby w miarę możliwości ich unikać149.

Środki kontroli środowiska obejmują usuwanie dywanów z sypialni i pomieszczeń mieszkalnych pacjenta, cotygodniowe pranie pościeli i odzieży w wodzie o temperaturze powyżej 55°C (130°F), stosowanie specjalnie zaprojektowanych pokrowców na materace i poduszki, usuwanie pluszowych zabawek i podobnych przedmiotów, które mogą gromadzić alergeny, trzymanie zwierząt domowych na zewnątrz i stosowanie specjalnych filtrów do pieców w celu usuwania alergenów przenoszonych drogą powietrzną150.

Usuwanie czynników wyzwalających astmę w pomieszczeniach poprawia jakość powietrza i zmniejsza objawy astmy u dzieci i dorosłych. Usuwanie czynników wyzwalających astmę zostało powiązane z kilkoma pozytywnymi wynikami, w tym poprawą frekwencji w szkole, zmniejszeniem liczby hospitalizacji, wizyt na oddziale ratunkowym i zmniejszeniem częstotliwości stosowania leków doraźnych w celu złagodzenia objawów151.

Podsumowanie opieki pielęgniarskiej nad dzieckiem z astmą

Opieka pielęgniarska nad dzieckiem z astmą obejmuje kompleksowe podejście, które uwzględnia aspekty fizyczne, psychologiczne i edukacyjne. Pielęgniarki odgrywają kluczową rolę w ocenie, planowaniu interwencji, edukacji pacjenta i rodziny oraz monitorowaniu postępów.

Główne priorytety w opiece pielęgniarskiej nad dzieckiem z astmą to:

  1. Poprawa wzorca oddychania i wymiany gazowej
  2. Utrzymanie drożności dróg oddechowych i zmniejszenie zapalenia
  3. Podawanie leków i wsparcie farmakologiczne
  4. Zapobieganie zaostrzeniom astmy
  5. Redukcja lęku i poprawa radzenia sobie z chorobą
  6. Zapewnienie edukacji pacjenta i nauczanie zdrowotne152

Skuteczne techniki pielęgniarskie w opiece nad dziećmi z astmą obejmują:

  • Monitorowanie stanu oddechowego, ocenę techniki inhalacyjnej i rozpoznawanie objawów niewydolności oddechowej u dzieci153
  • Ćwiczenia głębokiego oddychania i odkrztuszania mogą pomóc dziecku oczyścić wydzieliny śluzowe i poprawić wentylację154
  • Odpowiednie odżywianie pomaga utrzymać śluzówkę płuc i wzmocnić układ odpornościowy, co jest kluczowe w zapobieganiu zaostrzeniom stanu dziecka155
  • Techniki relaksacyjne mogą zmniejszyć stres i lęk związany z astmą, co może prowadzić do mniejszej liczby zaostrzeń156

Skuteczność planu opieki może być mierzona poprzez obserwację zmian w stanie oddechowym dziecka (poprawa saturacji tlenem, zmniejszenie świstów i poprawa drożności dróg oddechowych). Dodatkowo należy monitorować odżywianie i rozwój mechanizmów radzenia sobie w celu oceny skuteczności planu opieki157.

Plan opieki pielęgniarskiej nad dzieckiem z astmą jest zaprojektowany tak, aby poprawić drożność dróg oddechowych, odżywianie i umiejętności radzenia sobie. Przy odpowiednim zarządzaniu i edukacji dziecka, jego jakość życia i ogólny stan zdrowia mogą się znacznie poprawić158.

Kolejne rozdziały

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Nursing Children with Asthma | Ausmed
    https://www.ausmed.com/learn/articles/nursing-children-with-asthma
    In Australia, asthma affects about 10% of people aged 0-14, making it the most common chronic illness experienced by children (AIHW 2022). […] When identifying asthma in children, you might notice signs of respiratory distress. […] A child may be unable to speak in sentences or even may be short of breath after walking a short distance (SA Health 2021). […] Beware of a silent chest. If there is no audible wheeze and no obvious breath sounds, this could mean the child is having a severe asthma attack. This is a life-threatening situation (SA Health 2021). […] Once asthma has been diagnosed, the initial treatment is usually an inhaled bronchodilator (beta-agonist). Salbutamol is most commonly used. […] Spacers are just as effective as nebulisers and should be used for children of all ages.
  • #2 Enhancing Asthma Care Program | American Lung Association
    https://www.lung.org/professional-education/health-systems-improvement/enhancing-asthma-care-program
    According to the Centers for Disease Control and Prevention (CDC), 8.4 percent of American children have diagnosed asthma. […] Medical professionals around the country discuss the benefits of partnering with the American Lung Association to create and improve resources for asthma management and education through the Lung Associations Enhancing Asthma Care Program. […] I have a better vision for the mechanics involved in proper initial evaluation and chronic care management of our asthma patients. I have improved the assessment of severity and the level of control, increased my knowledge of treatments medications, and increased my understanding, interpretation, and use of spirometry in these patients.
  • #3 Asthma Exacerbation Nursing Care Plan
    https://www.thenursingjournal.com/post/asthma-exacerbation-nursing-care
    Asthma is a chronic inflammatory disease of the airways, that causes hyperresponsiveness, increased mucus production and mucosal oedema. […] In these notes, well be going over the Asthma Exacerbation Nursing Care […] To prevent flare-ups, the patients care has to rest on four main pillars: Patient education and knowledge about Asthma, Regular monitoring of symptoms and lung function, Adjustment of pharmacologic therapy when necessary, Knowing and avoiding the triggering factors. […] During an Asthma Exacerbation, the airways swell up and spasm narrowing the lumen and more often than not they will be plugged by mucus and secretions. This results in dyspnoea, rapid shallow breathing and a feeling of suffocation. […] In continuation with the previous point, ineffective respirations could be a result of ineffective airway clearance. This means that the patient has a build-up of secretion and mucus blocking the airways.
  • #4 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Asthma is a condition where a persons airways (the tubes that carry air in and out of the lungs) get inflamed and narrow. Its like a straw that gets squeezed, making it hard to blow air through. This makes it difficult to breathe. […] Its the same as adult asthma but in kids. Kids might find it hard to play or do sports because of their asthma. Its important to know what triggers a childs asthma so they can avoid it. […] Upon completion of this care plan, nursing students will be able to: Understand the pathophysiology of Childhood Asthma, including the inflammatory processes and airway hyperresponsiveness involved. […] Conduct a thorough nursing assessment of a child with asthma, identifying triggers, symptoms, and risk factors. […] Formulate and prioritize nursing diagnoses tailored to address acute exacerbations, long-term management, and preventive measures for childhood asthma.
  • #5 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Asthma is a condition where a persons airways (the tubes that carry air in and out of the lungs) get inflamed and narrow. Its like a straw that gets squeezed, making it hard to blow air through. This makes it difficult to breathe. […] Its the same as adult asthma but in kids. Kids might find it hard to play or do sports because of their asthma. Its important to know what triggers a childs asthma so they can avoid it. […] Upon completion of this care plan, nursing students will be able to: Understand the pathophysiology of Childhood Asthma, including the inflammatory processes and airway hyperresponsiveness involved. […] Conduct a thorough nursing assessment of a child with asthma, identifying triggers, symptoms, and risk factors. […] Formulate and prioritize nursing diagnoses tailored to address acute exacerbations, long-term management, and preventive measures for childhood asthma.
  • #6 Pediatric Asthma (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568735/
    Patients who have asthma may experience a range of respiratory symptoms, such as wheezing, shortness of breath, cough, and chest tightness. […] Initial management of a child who presents to the emergency department with an acute asthma exacerbation includes bronchodilators and steroids. […] All children with asthma should have an asthma action plan updated at every office visit and revisited at any emergent or unscheduled visit. […] Older children with asthma should be warned against smoking and exposure to environments that trigger attacks.
  • #7 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is the most common chronic condition among children. Children with asthma are extra sensitive to triggers as their smaller airways are easily affected by swelling and mucus. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. […] Common asthma signs and symptoms include persistent cough, audible wheezing while breathing, shortness of breath, and chest tightness. […] Certain comorbidities can overlap and worsen asthma symptoms, like obstructive sleep apnea, COPD, food allergies, GERD, nasal polyps, pregnancy, and respiratory infections. […] Asthma prevalence rises with urbanization as asthma risk is increased by exposure to various environmental allergens and irritants.
  • #8 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Asthma is a condition where a persons airways (the tubes that carry air in and out of the lungs) get inflamed and narrow. Its like a straw that gets squeezed, making it hard to blow air through. This makes it difficult to breathe. […] Its the same as adult asthma but in kids. Kids might find it hard to play or do sports because of their asthma. Its important to know what triggers a childs asthma so they can avoid it. […] Upon completion of this care plan, nursing students will be able to: Understand the pathophysiology of Childhood Asthma, including the inflammatory processes and airway hyperresponsiveness involved. […] Conduct a thorough nursing assessment of a child with asthma, identifying triggers, symptoms, and risk factors. […] Formulate and prioritize nursing diagnoses tailored to address acute exacerbations, long-term management, and preventive measures for childhood asthma.
  • #9 Treating asthma in children ages 5 to 11
    https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383
    Treating asthma in children ages 5 to 11 requires some specialized techniques. Discover tips on symptoms, medicines and asthma action plans. Asthma in children is one of the most common causes of missed school days. The airway condition can disrupt sleep, play and other activities. Asthma can’t be cured. But you and your child can lessen the symptoms. The key is to follow an asthma action plan. This is a written plan you make with your child’s healthcare team. It helps you track symptoms and adjust treatment as needed. Asthma treatment in children improves day-to-day breathing. Reduces flare-ups of asthma symptoms. Helps lessen other problems caused by asthma. With proper treatment, even serious asthma can be kept under control. If your child’s asthma symptoms are very bad, your family doctor or pediatrician may recommend seeing an asthma specialist. Treatment aims to find the right type and amount of medicine needed to control your child’s asthma. This helps prevent side effects. You’ll keep a record of how well your child’s current medicines seem to control symptoms. Based on this record, your child’s healthcare professional may „step up” treatment to a higher dose or add another type of medicine. If your child’s asthma is well controlled, the healthcare professional may „step down” treatment by reducing your child’s medicines. This is known as the stepwise approach to asthma treatment. Long-term control medicines are usually taken every day on a long-term basis to control lasting asthma. These medicines may be used seasonally if your child’s asthma symptoms become worse during certain times of the year. Quick-relief 'rescue’ medicines relieve asthma symptoms right away and last 4 to 6 hours. Your child’s asthma is not under control if your child often needs to use a quick-relief inhaler. Relying on a quick-relief inhaler to control symptoms puts your child at risk of a serious asthma attack. It’s also a sign that your child’s healthcare professional needs to think about making treatment changes. Follow and update your child’s asthma action plan. That’s the key to keeping asthma under control. Carefully track your child’s asthma symptoms. And make medicine changes as soon as they’re needed. With careful asthma management, your child is likely to have fewer flare-ups and more time for school, play and the rest of daily life.
  • #10 Asthma in Children: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/6776-asthma-in-children
    Asthma is a lung disease that causes your airways to swell and narrow, making it very hard to breathe. If asthma isnt well controlled, it can cause a variety of issues and complications. It can cause your child to miss school and even end up in the hospital. Its important to have an asthma action plan to help manage your childs condition. […] Asthma can begin at any age, but it most often starts during childhood when your childs immune system is still developing. Most children who get asthma have their first symptom by age 5. Asthma can cause your child to miss school and even end up in the hospital. Its important to have an asthma treatment plan to help manage your childs condition. […] If asthma isnt well-managed, it can cause a variety of issues and complications. These may include: Severe asthma attacks. Missed school or other activities. Frequent hospitalizations and/or emergency department visits. Permanent lung damage.
  • #11 An overview of asthma management in children and adults – UpToDate
    https://www.uptodate.com/contents/an-overview-of-asthma-management-in-children-and-adults
    The main goals of asthma management are to optimize control of asthma symptoms, reduce the risk of asthma exacerbations, and preserve lung function while minimizing medication adverse effects. […] The four essential components of asthma management are patient education, minimizing exposure to asthma triggers, monitoring for changes in symptoms or lung function, and pharmacologic therapy. […] The management of asthma exacerbations is also covered separately. […] Suggested approach to initial asthma therapy in children 4 to 11 years of age. […] Suggested approach to modifying asthma therapy in children 4 to 11 years of age. […] Usual doses for long-term asthma controller medications other than inhaled glucocorticoids in children. […] Childhood Asthma Control Test for children aged 4 to 11 years. […] Child asthma action plan.
  • #12 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Develop evidence-based nursing interventions to manage acute asthma episodes, promote medication adherence, and educate children and caregivers on asthma self-management. […] Implement pediatric-focused assessment skills, such as monitoring respiratory status, assessing inhaler technique, and recognizing signs of respiratory distress in children. […] Childhood asthma is a chronic inflammatory disorder of the airways that involves complex interactions between genetic, environmental, and immune factors. […] While the exact cause of asthma is unknown, it is believed to be somewhat hereditary. Certain triggers can cause the worsening of symptoms, known as asthma attacks. […] An asthma action plan helps the parents, school, and daycare providers to understand and control asthma in children. […] Provide education for patients/parents regarding the use of maintenance medications and how to recognize and avoid triggers. […] The key points for childhood asthma, remember it is a chronic inflammation of the airways and it makes it very difficult to breathe.
  • #13 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Develop evidence-based nursing interventions to manage acute asthma episodes, promote medication adherence, and educate children and caregivers on asthma self-management. […] Implement pediatric-focused assessment skills, such as monitoring respiratory status, assessing inhaler technique, and recognizing signs of respiratory distress in children. […] Childhood asthma is a chronic inflammatory disorder of the airways that involves complex interactions between genetic, environmental, and immune factors. […] While the exact cause of asthma is unknown, it is believed to be somewhat hereditary. Certain triggers can cause the worsening of symptoms, known as asthma attacks. […] An asthma action plan helps the parents, school, and daycare providers to understand and control asthma in children. […] Provide education for patients/parents regarding the use of maintenance medications and how to recognize and avoid triggers. […] The key points for childhood asthma, remember it is a chronic inflammation of the airways and it makes it very difficult to breathe.
  • #14 Asthma Exacerbation Nursing Care Plan
    https://www.thenursingjournal.com/post/asthma-exacerbation-nursing-care
    Asthma is a chronic inflammatory disease of the airways, that causes hyperresponsiveness, increased mucus production and mucosal oedema. […] In these notes, well be going over the Asthma Exacerbation Nursing Care […] To prevent flare-ups, the patients care has to rest on four main pillars: Patient education and knowledge about Asthma, Regular monitoring of symptoms and lung function, Adjustment of pharmacologic therapy when necessary, Knowing and avoiding the triggering factors. […] During an Asthma Exacerbation, the airways swell up and spasm narrowing the lumen and more often than not they will be plugged by mucus and secretions. This results in dyspnoea, rapid shallow breathing and a feeling of suffocation. […] In continuation with the previous point, ineffective respirations could be a result of ineffective airway clearance. This means that the patient has a build-up of secretion and mucus blocking the airways.
  • #15 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma?quiz-view=open
    Asthma is a condition where a persons airways (the tubes that carry air in and out of the lungs) get inflamed and narrow. Its like a straw that gets squeezed, making it hard to blow air through. This makes it difficult to breathe. […] Its the same as adult asthma but in kids. Kids might find it hard to play or do sports because of their asthma. Its important to know what triggers a childs asthma so they can avoid it. […] Upon completion of this care plan, nursing students will be able to: Understand the pathophysiology of Childhood Asthma, including the inflammatory processes and airway hyperresponsiveness involved. […] Conduct a thorough nursing assessment of a child with asthma, identifying triggers, symptoms, and risk factors. […] Formulate and prioritize nursing diagnoses tailored to address acute exacerbations, long-term management, and preventive measures for childhood asthma.
  • #16 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Develop evidence-based nursing interventions to manage acute asthma episodes, promote medication adherence, and educate children and caregivers on asthma self-management. […] Implement pediatric-focused assessment skills, such as monitoring respiratory status, assessing inhaler technique, and recognizing signs of respiratory distress in children. […] Childhood asthma is a chronic inflammatory disorder of the airways that involves complex interactions between genetic, environmental, and immune factors. […] While the exact cause of asthma is unknown, it is believed to be somewhat hereditary. Certain triggers can cause the worsening of symptoms, known as asthma attacks. […] An asthma action plan helps the parents, school, and daycare providers to understand and control asthma in children. […] Provide education for patients/parents regarding the use of maintenance medications and how to recognize and avoid triggers. […] The key points for childhood asthma, remember it is a chronic inflammation of the airways and it makes it very difficult to breathe.
  • #17 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is more likely to affect obese or overweight patients, and obesity can lead to worsening asthma symptoms and poor asthma control. […] The patients socioeconomic status can reveal factors that may contribute to asthma symptoms and attacks. […] Asthma flare-ups can be frightening. Assess if the patient is fearful of partaking in exercise or activities for fear of an asthma attack. […] Exercise is necessary for health. Encourage activities such as walking or yoga which are generally safe for asthmatics. […] Long-term control medications are taken daily or scheduled to control and prevent flares. […] Controlling the environment is essential to prevent recurrent attacks. […] Each individual will have their own asthma triggers. Common triggers include dust, pet hair, pollen, mold, pollution, infections, high humidity, and even stress. […] Children may take an interest in managing their asthma and making their own decisions.
  • #18 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is more likely to affect obese or overweight patients, and obesity can lead to worsening asthma symptoms and poor asthma control. […] The patients socioeconomic status can reveal factors that may contribute to asthma symptoms and attacks. […] Asthma flare-ups can be frightening. Assess if the patient is fearful of partaking in exercise or activities for fear of an asthma attack. […] Exercise is necessary for health. Encourage activities such as walking or yoga which are generally safe for asthmatics. […] Long-term control medications are taken daily or scheduled to control and prevent flares. […] Controlling the environment is essential to prevent recurrent attacks. […] Each individual will have their own asthma triggers. Common triggers include dust, pet hair, pollen, mold, pollution, infections, high humidity, and even stress. […] Children may take an interest in managing their asthma and making their own decisions.
  • #19 Childhood Asthma Treatment and Prevention CEU – Nursing CE Central
    https://nursingcecentral.com/lessons/childhood-asthma-prevention-and-treatment/
    Proper management of asthma symptoms helps to reduce chronic damage by way of airway remodeling, (while reducing the odds of death related to an asthma attack) and increasing quality of life. […] Access to healthcare, especially in many rural and poverty-stricken areas, is a national concern. […] Creating outreach programs in schools, primary care offices, and local hospitals may help maximize asthma screening and treatment for at-risk children. […] It is critical that healthcare providers recognize these care disparities and work with local and national resources to increase screening and diagnosis. […] A combination of family and individual medical history, lung function testing, and history of asthma-related medication use help determine asthma diagnoses and treatment plans. […] Clients with severe symptoms and a decreased response to therapy are at an increased risk for severe, life-threatening asthma attacks.
  • #20 Childhood asthma – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/childhood-asthma/diagnosis-treatment/drc-20351513
    Asthma can be hard to diagnose. Your child’s health care provider considers the symptoms and their frequency and your child’s medical history. Your child might need tests to rule out other conditions and to identify the most likely cause of the symptoms. […] Initial treatment depends on the severity of your child’s asthma. The goal of asthma treatment is to keep symptoms under control, meaning that your child has: […] Treating asthma involves both preventing symptoms and treating an asthma attack in progress. […] Long-term asthma control medicines such as inhaled corticosteroids are the cornerstone of asthma treatment. These medicines keep asthma under control and make it less likely that your child will have an asthma attack. […] Work with your child’s health care provider to create a written asthma action plan. This can be an important part of treatment, especially if your child has severe asthma. An asthma action plan can help you and your child:
  • #21 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is the most common chronic condition among children. Children with asthma are extra sensitive to triggers as their smaller airways are easily affected by swelling and mucus. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. […] Common asthma signs and symptoms include persistent cough, audible wheezing while breathing, shortness of breath, and chest tightness. […] Certain comorbidities can overlap and worsen asthma symptoms, like obstructive sleep apnea, COPD, food allergies, GERD, nasal polyps, pregnancy, and respiratory infections. […] Asthma prevalence rises with urbanization as asthma risk is increased by exposure to various environmental allergens and irritants.
  • #22 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is the most common chronic condition among children. Children with asthma are extra sensitive to triggers as their smaller airways are easily affected by swelling and mucus. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. […] Common asthma signs and symptoms include persistent cough, audible wheezing while breathing, shortness of breath, and chest tightness. […] Certain comorbidities can overlap and worsen asthma symptoms, like obstructive sleep apnea, COPD, food allergies, GERD, nasal polyps, pregnancy, and respiratory infections. […] Asthma prevalence rises with urbanization as asthma risk is increased by exposure to various environmental allergens and irritants.
  • #23 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is the most common chronic condition among children. Children with asthma are extra sensitive to triggers as their smaller airways are easily affected by swelling and mucus. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. […] Common asthma signs and symptoms include persistent cough, audible wheezing while breathing, shortness of breath, and chest tightness. […] Certain comorbidities can overlap and worsen asthma symptoms, like obstructive sleep apnea, COPD, food allergies, GERD, nasal polyps, pregnancy, and respiratory infections. […] Asthma prevalence rises with urbanization as asthma risk is increased by exposure to various environmental allergens and irritants.
  • #24 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is the most common chronic condition among children. Children with asthma are extra sensitive to triggers as their smaller airways are easily affected by swelling and mucus. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. […] Common asthma signs and symptoms include persistent cough, audible wheezing while breathing, shortness of breath, and chest tightness. […] Certain comorbidities can overlap and worsen asthma symptoms, like obstructive sleep apnea, COPD, food allergies, GERD, nasal polyps, pregnancy, and respiratory infections. […] Asthma prevalence rises with urbanization as asthma risk is increased by exposure to various environmental allergens and irritants.
  • #25 Asthma in Children | Children’s Healthcare of Atlanta
    https://www.choa.org/medical-services/asthma
    Signs that your child may be having asthma problems include: Chest tightness, Coughing, Difficulty doing most physical activities, Trouble breathing, Wheezing. […] The best way to fight asthma is through a community approach. The Childrens asthma team works with many community groups and programs to help care for children with asthma where they live, learn and play. […] We provide on-site and web-based asthma education to: School staffs, Parent groups, After-school programs, Other healthcare professionals, School nurses and clinic workers, Childcare centers, Primary care physician offices, Community groups.
  • #26 Asthma in Children | Children’s Healthcare of Atlanta
    https://www.choa.org/medical-services/asthma
    Signs that your child may be having asthma problems include: Chest tightness, Coughing, Difficulty doing most physical activities, Trouble breathing, Wheezing. […] The best way to fight asthma is through a community approach. The Childrens asthma team works with many community groups and programs to help care for children with asthma where they live, learn and play. […] We provide on-site and web-based asthma education to: School staffs, Parent groups, After-school programs, Other healthcare professionals, School nurses and clinic workers, Childcare centers, Primary care physician offices, Community groups.
  • #27 Asthma Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/asthma/
    Emphasize adherence to prescribed therapy, preventive measures, and need for follow-up appointments. […] The symptoms mentioned — persistent coughing, audible wheezing during exhalation, a feeling of chest tightness, labored breathing, and restless sleep due to breathlessness — are all characteristic signs of asthma. […] Asthma can indeed be life-threatening. Asthma is a chronic disease that inflames and narrows the airways in the lungs, which leads to wheezing, shortness of breath, chest tightness, and coughing. […] In the management of asthma, 'relievers’ are quick-acting medications designed to relieve symptoms during an asthma attack or flare-up. […] Asthma is most commonly diagnosed in children. […] Asthma is a chronic condition characterized by inflammation and narrowing of the bronchial tubes, which carry air in and out of the lungs.
  • #28 For Parents of Children with Asthma | American Lung Association
    https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma/children-and-asthma
    If you care for a child with asthma or have recently been diagnosed with asthma, it is very important to learn more about asthma. […] Most children who have asthma develop their first symptoms before 5 years of age. However, asthma in young children can be hard to diagnose. […] A young child who frequently wheezes with colds or respiratory infections is more likely to have asthma if: a parent has asthma, the child has signs of allergies, including the allergic skin condition eczema, the child wheezes even when he or she doesn’t have a cold or other infection. […] To help your pediatrician make a correct diagnosis, be prepared to provide information about your family history of the following: asthma or allergies, your child’s overall behavior such as fatigue or decrease activity, trouble sleeping, or anxiousness, breathing patterns such as coughing at night or early morning, shortness of breath or fast breathing.
  • #29 Childhood Asthma Treatment and Prevention CEU – Nursing CE Central
    https://nursingcecentral.com/lessons/childhood-asthma-prevention-and-treatment/
    Proper management of asthma symptoms helps to reduce chronic damage by way of airway remodeling, (while reducing the odds of death related to an asthma attack) and increasing quality of life. […] Access to healthcare, especially in many rural and poverty-stricken areas, is a national concern. […] Creating outreach programs in schools, primary care offices, and local hospitals may help maximize asthma screening and treatment for at-risk children. […] It is critical that healthcare providers recognize these care disparities and work with local and national resources to increase screening and diagnosis. […] A combination of family and individual medical history, lung function testing, and history of asthma-related medication use help determine asthma diagnoses and treatment plans. […] Clients with severe symptoms and a decreased response to therapy are at an increased risk for severe, life-threatening asthma attacks.
  • #30 Pediatric Asthma – Conditions and Treatments | Children’s National Hospital
    https://www.childrensnational.org/get-care/health-library/asthma
    As of yet, there is no cure for asthma. However, asthma can be controlled with prescription medications that may help to prevent or relieve symptoms, and by learning ways to manage episodes. […] The four parts of managing asthma are: Identify and minimize contact with asthma triggers, Understand and take medications as prescribed, Monitor asthma to recognize signs when it is getting worse, Know what to do when asthma gets worse. […] The use of objective measures of lung function, such as spirometry, oximeters, and peak flow expiratory flow rate, assess the severity of asthma and monitor the course of treatment. […] The use of medication therapy designed to reverse and prevent the airway inflammation component of asthma, as well as to treat the narrowing airway. […] The use of environmental control measures to avoid or eliminate factors that induce or trigger asthma flare-ups, including the consideration of immunotherapy. […] Patient education that includes a partnership among the child, family members, and the child’s physician.
  • #31 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/asthma-nursing-care-plans/
    Utilize this comprehensive nursing care plan and management guide to provide effective care for patients with asthma. Gain valuable insights on nursing assessment, interventions, goals, and nursing diagnosis specifically tailored for asthma in this guide. […] Asthma is a common chronic disease affecting approximately 26 million persons in the United States. It is the most common chronic disease in childhood (Morris Mosenifar, 2022). […] Nursing care for patients with asthma varies depending on symptom severity, ranging from outpatient treatment for mild symptoms to hospitalization for acute and severe cases. […] The following are the nursing priorities for patients with asthma: 1. Improving Breathing Pattern Gas Exchange 2. Maintaining Patent Airways Reducing Airway Inflammation 3. Medical Administration and Pharmacologic Support 4. Preventing Exacerbation of Asthma 5. Reducing Anxiety Improving Coping 6. Providing Patient Education Health Teachings.
  • #32 Pediatric Asthma – Conditions and Treatments | Children’s National Hospital
    https://www.childrensnational.org/get-care/health-library/asthma
    As of yet, there is no cure for asthma. However, asthma can be controlled with prescription medications that may help to prevent or relieve symptoms, and by learning ways to manage episodes. […] The four parts of managing asthma are: Identify and minimize contact with asthma triggers, Understand and take medications as prescribed, Monitor asthma to recognize signs when it is getting worse, Know what to do when asthma gets worse. […] The use of objective measures of lung function, such as spirometry, oximeters, and peak flow expiratory flow rate, assess the severity of asthma and monitor the course of treatment. […] The use of medication therapy designed to reverse and prevent the airway inflammation component of asthma, as well as to treat the narrowing airway. […] The use of environmental control measures to avoid or eliminate factors that induce or trigger asthma flare-ups, including the consideration of immunotherapy. […] Patient education that includes a partnership among the child, family members, and the child’s physician.
  • #33 Pediatric Asthma Treatment & Management: Approach Considerations, Components of Asthma Care, Treatment of Status Asthmaticus
    https://emedicine.medscape.com/article/1000997-treatment
    Once the patient’s condition is classified and therapy has been initiated, continual assessment is important for disease control. Asthma control is defined as „the degree to which the manifestations of asthma are minimized by therapeutic intervention and the goals of therapy are met.” […] Patient education continues to be important in all areas of medicine and is particularly important in asthma. Self-management education should focus on teaching patients the importance of recognizing their own their level of control and signs of progressively worsening asthma symptoms. […] As mentioned above, environmental exposures and irritants can play a strong role in symptom exacerbations. Therefore, in patients who have persistent asthma, the use of skin testing or in vitro testing to assess sensitivity to perennial indoor allergens is important.
  • #34 For Parents of Children with Asthma | American Lung Association
    https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma/children-and-asthma
    If you care for a child with asthma or have recently been diagnosed with asthma, it is very important to learn more about asthma. […] Most children who have asthma develop their first symptoms before 5 years of age. However, asthma in young children can be hard to diagnose. […] A young child who frequently wheezes with colds or respiratory infections is more likely to have asthma if: a parent has asthma, the child has signs of allergies, including the allergic skin condition eczema, the child wheezes even when he or she doesn’t have a cold or other infection. […] To help your pediatrician make a correct diagnosis, be prepared to provide information about your family history of the following: asthma or allergies, your child’s overall behavior such as fatigue or decrease activity, trouble sleeping, or anxiousness, breathing patterns such as coughing at night or early morning, shortness of breath or fast breathing.
  • #35 Patient education: Asthma treatment in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/asthma-treatment-in-children-beyond-the-basics
    Asthma is a common lung disease affecting millions of people worldwide. It is characterized by narrowing of the airways in the lungs. Symptoms of asthma include wheezing, coughing, chest tightness, and shortness of breath. These symptoms tend to come and go and are related to the degree of airway narrowing in the lungs. Different things can trigger symptoms in people with asthma, including viral illnesses, allergens, exercise, medications, or environmental conditions. […] The optimal treatment of asthma in children depends upon a number of factors, including the child’s age, the severity and frequency of asthma attacks, and the ability to properly use the prescribed medications. In most cases, medications can control symptoms, allowing the child to participate fully in all activities, including sports.
  • #36 Childhood asthma – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/childhood-asthma/diagnosis-treatment/drc-20351513
    Asthma can be hard to diagnose. Your child’s health care provider considers the symptoms and their frequency and your child’s medical history. Your child might need tests to rule out other conditions and to identify the most likely cause of the symptoms. […] Initial treatment depends on the severity of your child’s asthma. The goal of asthma treatment is to keep symptoms under control, meaning that your child has: […] Treating asthma involves both preventing symptoms and treating an asthma attack in progress. […] Long-term asthma control medicines such as inhaled corticosteroids are the cornerstone of asthma treatment. These medicines keep asthma under control and make it less likely that your child will have an asthma attack. […] Work with your child’s health care provider to create a written asthma action plan. This can be an important part of treatment, especially if your child has severe asthma. An asthma action plan can help you and your child:
  • #37 Pediatric Asthma Treatment & Management: Approach Considerations, Components of Asthma Care, Treatment of Status Asthmaticus
    https://emedicine.medscape.com/article/1000997-treatment
    The National Asthma Education and Prevention Program guidelines highlight the importance of treating impairment and risk domains of asthma. The goals for therapy are as follows: Control asthma by reducing impairment through prevention of chronic and troublesome symptoms (eg, coughing or breathlessness in the daytime, in the night, or after exertion) […] For children, preventing reduced lung growth and providing optimal pharmacotherapy with minimal or no adverse effects is important. The goal of long-term therapy is to prevent acute exacerbations. The patient should avoid exposure to environmental allergens and irritants that are identified during the evaluation. […] The current guidelines emphasize 4 important components of asthma care, as follows: Assessment and monitoring, Education, Control of environmental factors and comorbid conditions, Pharmacologic treatment.
  • #38 Treating asthma in children ages 5 to 11
    https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383
    Treating asthma in children ages 5 to 11 requires some specialized techniques. Discover tips on symptoms, medicines and asthma action plans. Asthma in children is one of the most common causes of missed school days. The airway condition can disrupt sleep, play and other activities. Asthma can’t be cured. But you and your child can lessen the symptoms. The key is to follow an asthma action plan. This is a written plan you make with your child’s healthcare team. It helps you track symptoms and adjust treatment as needed. Asthma treatment in children improves day-to-day breathing. Reduces flare-ups of asthma symptoms. Helps lessen other problems caused by asthma. With proper treatment, even serious asthma can be kept under control. If your child’s asthma symptoms are very bad, your family doctor or pediatrician may recommend seeing an asthma specialist. Treatment aims to find the right type and amount of medicine needed to control your child’s asthma. This helps prevent side effects. You’ll keep a record of how well your child’s current medicines seem to control symptoms. Based on this record, your child’s healthcare professional may „step up” treatment to a higher dose or add another type of medicine. If your child’s asthma is well controlled, the healthcare professional may „step down” treatment by reducing your child’s medicines. This is known as the stepwise approach to asthma treatment. Long-term control medicines are usually taken every day on a long-term basis to control lasting asthma. These medicines may be used seasonally if your child’s asthma symptoms become worse during certain times of the year. Quick-relief 'rescue’ medicines relieve asthma symptoms right away and last 4 to 6 hours. Your child’s asthma is not under control if your child often needs to use a quick-relief inhaler. Relying on a quick-relief inhaler to control symptoms puts your child at risk of a serious asthma attack. It’s also a sign that your child’s healthcare professional needs to think about making treatment changes. Follow and update your child’s asthma action plan. That’s the key to keeping asthma under control. Carefully track your child’s asthma symptoms. And make medicine changes as soon as they’re needed. With careful asthma management, your child is likely to have fewer flare-ups and more time for school, play and the rest of daily life.
  • #39 Treating asthma in children ages 5 to 11
    https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044383
    Treating asthma in children ages 5 to 11 requires some specialized techniques. Discover tips on symptoms, medicines and asthma action plans. Asthma in children is one of the most common causes of missed school days. The airway condition can disrupt sleep, play and other activities. Asthma can’t be cured. But you and your child can lessen the symptoms. The key is to follow an asthma action plan. This is a written plan you make with your child’s healthcare team. It helps you track symptoms and adjust treatment as needed. Asthma treatment in children improves day-to-day breathing. Reduces flare-ups of asthma symptoms. Helps lessen other problems caused by asthma. With proper treatment, even serious asthma can be kept under control. If your child’s asthma symptoms are very bad, your family doctor or pediatrician may recommend seeing an asthma specialist. Treatment aims to find the right type and amount of medicine needed to control your child’s asthma. This helps prevent side effects. You’ll keep a record of how well your child’s current medicines seem to control symptoms. Based on this record, your child’s healthcare professional may „step up” treatment to a higher dose or add another type of medicine. If your child’s asthma is well controlled, the healthcare professional may „step down” treatment by reducing your child’s medicines. This is known as the stepwise approach to asthma treatment. Long-term control medicines are usually taken every day on a long-term basis to control lasting asthma. These medicines may be used seasonally if your child’s asthma symptoms become worse during certain times of the year. Quick-relief 'rescue’ medicines relieve asthma symptoms right away and last 4 to 6 hours. Your child’s asthma is not under control if your child often needs to use a quick-relief inhaler. Relying on a quick-relief inhaler to control symptoms puts your child at risk of a serious asthma attack. It’s also a sign that your child’s healthcare professional needs to think about making treatment changes. Follow and update your child’s asthma action plan. That’s the key to keeping asthma under control. Carefully track your child’s asthma symptoms. And make medicine changes as soon as they’re needed. With careful asthma management, your child is likely to have fewer flare-ups and more time for school, play and the rest of daily life.
  • #40 Patient education: Asthma treatment in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/asthma-treatment-in-children-beyond-the-basics
    Children with persistent asthma need to take medication on a daily basis to keep their asthma under control, even if they do not have symptoms every day. The medications used for this are called „long-term controller” medications. […] Quick-relief medications are used to relieve asthma symptoms when they happen. Short-acting beta agonists are a type of „bronchodilator” medication. They relieve symptoms rapidly by temporarily relaxing the muscles around narrowed airways, allowing more air to get through. […] Inhaled steroids decrease inflammation of the airways over time. Daily treatment with an inhaled steroid reduces the frequency of symptoms, improves quality of life, and decreases the risk of serious asthma attacks. […] Children with more severe persistent asthma that is difficult to control may need to take other medications in addition to those described above. These include biologics.
  • #41 Reddit – The heart of the internet
    https://www.reddit.com/r/Asthma/comments/18an9mc/asthma_how_to_care_for_an_asthmatic_child/
    At 18m, pollen seemed to be the chief culprit, and smoke, and he was on a nebulizer. […] He is on a steroid inhaler (fluticasone) and a normal inhaler. And he has what I call „breathing treatments” – boiling water and some herbs, like peppermint that seem to work to calm him. […] Last week, it was almost 2hrs after giving him his inhalers – albuterol and steroid – that he had an attack. […] I don’t think his steroid is working it’s been at least a month. Should I ask his pediatrician for something different, and if so, how should I frame the question? […] My son is tired from coughing multiple times in the night. How do I get buy-in from his dad (super school-focused) to let him stay home when my son – fluent at reading and pretty good at math and science – is clearly tired? […] I look forward to the day when he doesn’t have to struggle with this and when we do not have to grapple with „is he too tired for school?” Or be short with one another after a late night of asthma attacks. But I am also aware that day might not come. […] I am at my wits end and desperately needing help.
  • #42 Nursing Children with Asthma | Ausmed
    https://www.ausmed.com/learn/articles/nursing-children-with-asthma
    As a general rule, children younger than six should receive six puffs of salbutamol (100 mcg/puff) via a metered dose inhaler (MDI). Children over six require 12 puffs. […] Prednisolone is also given orally in acute asthma exacerbations. […] Preventative options for children with frequent episodic asthma should be considered. Montelukast (singlair) or a low dose inhaled corticosteroid such as flixitide can be used as first line preventers. […] All patients with asthma, whether visiting a GPs surgery or an emergency department, should receive a written asthma management plan. […] A safety net for both families and clinicians is good discharge advice, especially advice about when to return to hospital or seek a GP review.
  • #43 Pediatric Asthma Treatment & Management: Approach Considerations, Components of Asthma Care, Treatment of Status Asthmaticus
    https://emedicine.medscape.com/article/1000997-treatment
    Pharmacologic management includes the use of agents for control and agents for relief. Control agents include inhaled corticosteroids, inhaled cromolyn or nedocromil, long-acting bronchodilators, theophylline, leukotriene modifiers, and more recent strategies such as the use of the anti-immunoglobulin E (IgE) antibody (omalizumab) or IL-5 monoclonal antibodies (mepolizumab, benralizumab), or IL-4 receptor alpha monoclonal antibody (dupilumab). […] For all but the most severely affected patients, the ultimate goal is to prevent symptoms, minimize morbidity from acute episodes, and prevent functional and psychological morbidity to provide a healthy (or near healthy) lifestyle appropriate to the age of child. […] Regular follow-up visits are essential to ensure control and appropriate therapeutic adjustments. In general, patients should be assessed every 1-6 months. At every visit, adherence, environmental control, and comorbid conditions should be checked.
  • #44 Patient education: Asthma treatment in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/asthma-treatment-in-children-beyond-the-basics
    Children with persistent asthma need to take medication on a daily basis to keep their asthma under control, even if they do not have symptoms every day. The medications used for this are called „long-term controller” medications. […] Quick-relief medications are used to relieve asthma symptoms when they happen. Short-acting beta agonists are a type of „bronchodilator” medication. They relieve symptoms rapidly by temporarily relaxing the muscles around narrowed airways, allowing more air to get through. […] Inhaled steroids decrease inflammation of the airways over time. Daily treatment with an inhaled steroid reduces the frequency of symptoms, improves quality of life, and decreases the risk of serious asthma attacks. […] Children with more severe persistent asthma that is difficult to control may need to take other medications in addition to those described above. These include biologics.
  • #45 Patient education: Asthma treatment in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/asthma-treatment-in-children-beyond-the-basics
    Children with persistent asthma need to take medication on a daily basis to keep their asthma under control, even if they do not have symptoms every day. The medications used for this are called „long-term controller” medications. […] Quick-relief medications are used to relieve asthma symptoms when they happen. Short-acting beta agonists are a type of „bronchodilator” medication. They relieve symptoms rapidly by temporarily relaxing the muscles around narrowed airways, allowing more air to get through. […] Inhaled steroids decrease inflammation of the airways over time. Daily treatment with an inhaled steroid reduces the frequency of symptoms, improves quality of life, and decreases the risk of serious asthma attacks. […] Children with more severe persistent asthma that is difficult to control may need to take other medications in addition to those described above. These include biologics.
  • #46 Nursing Children with Asthma | Ausmed
    https://www.ausmed.com/learn/articles/nursing-children-with-asthma
    As a general rule, children younger than six should receive six puffs of salbutamol (100 mcg/puff) via a metered dose inhaler (MDI). Children over six require 12 puffs. […] Prednisolone is also given orally in acute asthma exacerbations. […] Preventative options for children with frequent episodic asthma should be considered. Montelukast (singlair) or a low dose inhaled corticosteroid such as flixitide can be used as first line preventers. […] All patients with asthma, whether visiting a GPs surgery or an emergency department, should receive a written asthma management plan. […] A safety net for both families and clinicians is good discharge advice, especially advice about when to return to hospital or seek a GP review.
  • #47 Asthma Exacerbation [Pediatric Inpatient]
    https://elsevier.health/en-US/preview/asthma-exacerbation-pediatric
    Care of the hospitalized child experiencing symptoms related to airway inflammation and hyperresponsiveness. […] Inhaled corticosteroid therapy should be standard care at discharge; however, it may be used in tandem with systemic corticosteroid therapy during hospitalization. […] Patients with asthma have a significantly increased risk of suicidal ideation, attempts and mortality. Suicide screening should be provided and appropriate mental health referrals when necessary. […] Evaluate self-management (asthma action plan) adherence and effectiveness of coping skills; encourage expression of feelings, expectations and concerns related to symptom management, quality of life and wellbeing. […] Comorbidities, such as rhinosinusitis, obesity, gastroesophageal reflux disease and psychiatric disorders may contribute to poor symptom control and may require additional specialty services to manage treatment.
  • #48 Nursing Children with Asthma | Ausmed
    https://www.ausmed.com/learn/articles/nursing-children-with-asthma
    As a general rule, children younger than six should receive six puffs of salbutamol (100 mcg/puff) via a metered dose inhaler (MDI). Children over six require 12 puffs. […] Prednisolone is also given orally in acute asthma exacerbations. […] Preventative options for children with frequent episodic asthma should be considered. Montelukast (singlair) or a low dose inhaled corticosteroid such as flixitide can be used as first line preventers. […] All patients with asthma, whether visiting a GPs surgery or an emergency department, should receive a written asthma management plan. […] A safety net for both families and clinicians is good discharge advice, especially advice about when to return to hospital or seek a GP review.
  • #49 Pediatric Asthma (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568735/
    Patients who have asthma may experience a range of respiratory symptoms, such as wheezing, shortness of breath, cough, and chest tightness. […] Initial management of a child who presents to the emergency department with an acute asthma exacerbation includes bronchodilators and steroids. […] All children with asthma should have an asthma action plan updated at every office visit and revisited at any emergent or unscheduled visit. […] Older children with asthma should be warned against smoking and exposure to environments that trigger attacks.
  • #50 Pediatric Asthma (Nursing) Article
    https://www.statpearls.com/articlelibrary/nursingarticle/26821
    Pediatric Asthma (Nursing) […] Consider important history and physical exam findings in childhood asthma […] List treatment options both for chronic management and acute exacerbations […] Initial management of a child who presents to the emergency department with an acute asthma exacerbation includes bronchodilators and steroids […] All children with asthma should have an asthma action plan updated at every office visit and revisited at any emergent or unscheduled visit.
  • #51 Your child’s asthma action plan | Asthma + Lung UK
    https://www.asthmaandlung.org.uk/conditions/asthma/child/manage/action-plan
    An asthma action plan is a written plan with all the information you need about your childs asthma in one place. It helps you to look after your childs asthma well. […] Using an asthma action plan is one of the best things you can do to help your child stay well with their asthma. […] Using your childs asthma action plan will help to reduce emergency visits to the doctor and hospital. […] Share your childs action plan with teachers, family, friends, and carers. This will make sure anyone looking after your child understands how to look after their asthma.
  • #52 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Develop evidence-based nursing interventions to manage acute asthma episodes, promote medication adherence, and educate children and caregivers on asthma self-management. […] Implement pediatric-focused assessment skills, such as monitoring respiratory status, assessing inhaler technique, and recognizing signs of respiratory distress in children. […] Childhood asthma is a chronic inflammatory disorder of the airways that involves complex interactions between genetic, environmental, and immune factors. […] While the exact cause of asthma is unknown, it is believed to be somewhat hereditary. Certain triggers can cause the worsening of symptoms, known as asthma attacks. […] An asthma action plan helps the parents, school, and daycare providers to understand and control asthma in children. […] Provide education for patients/parents regarding the use of maintenance medications and how to recognize and avoid triggers. […] The key points for childhood asthma, remember it is a chronic inflammation of the airways and it makes it very difficult to breathe.
  • #53 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma?quiz-view=open
    This plan outlines the patients known triggers and how to manage symptoms that arise. […] Provide education for patients/parents regarding the use of maintenance medications and how to recognize and avoid triggers. […] Help the patient to understand what triggers asthma attacks and how to avoid those situations. […] Help parents understand that lifestyle and environmental changes may be made, including pets in the home and exposure to cigarette smoke. […] The key points for childhood asthma, remember it is a chronic inflammation of the airways and it makes it very difficult to breathe.
  • #54 Asthma in Children | Children’s Healthcare of Atlanta
    https://www.choa.org/medical-services/asthma
    We help kids manage symptoms so that they can live full, active lives. That means less down time and less time away from school. […] We have a comprehensive team—doctors, nurses and educators—who will design a personalized asthma care plan for your child. […] Written by your childs doctor, an asthma action plan offers steps to treat your child when he is experiencing signs of asthma. […] The asthma action plan should include: Your childs prescribed controller and quick-relief medications, What to do when your child is having an asthma attack, How to identify warning signs of an asthma attack, Your childs asthma triggers, Emergency contact information, Guidelines for treatment before activity. […] Exercise is important for all children and teens, including those with asthma. With the right treatment and planning, your child can be active at home and school.
  • #55 Asthma in Children | Children’s Healthcare of Atlanta
    https://www.choa.org/medical-services/asthma
    We help kids manage symptoms so that they can live full, active lives. That means less down time and less time away from school. […] We have a comprehensive team—doctors, nurses and educators—who will design a personalized asthma care plan for your child. […] Written by your childs doctor, an asthma action plan offers steps to treat your child when he is experiencing signs of asthma. […] The asthma action plan should include: Your childs prescribed controller and quick-relief medications, What to do when your child is having an asthma attack, How to identify warning signs of an asthma attack, Your childs asthma triggers, Emergency contact information, Guidelines for treatment before activity. […] Exercise is important for all children and teens, including those with asthma. With the right treatment and planning, your child can be active at home and school.
  • #56 Asthma in Children | Children’s Healthcare of Atlanta
    https://www.choa.org/medical-services/asthma
    We help kids manage symptoms so that they can live full, active lives. That means less down time and less time away from school. […] We have a comprehensive team—doctors, nurses and educators—who will design a personalized asthma care plan for your child. […] Written by your childs doctor, an asthma action plan offers steps to treat your child when he is experiencing signs of asthma. […] The asthma action plan should include: Your childs prescribed controller and quick-relief medications, What to do when your child is having an asthma attack, How to identify warning signs of an asthma attack, Your childs asthma triggers, Emergency contact information, Guidelines for treatment before activity. […] Exercise is important for all children and teens, including those with asthma. With the right treatment and planning, your child can be active at home and school.
  • #57 Asthma in Children | Children’s Healthcare of Atlanta
    https://www.choa.org/medical-services/asthma
    We help kids manage symptoms so that they can live full, active lives. That means less down time and less time away from school. […] We have a comprehensive team—doctors, nurses and educators—who will design a personalized asthma care plan for your child. […] Written by your childs doctor, an asthma action plan offers steps to treat your child when he is experiencing signs of asthma. […] The asthma action plan should include: Your childs prescribed controller and quick-relief medications, What to do when your child is having an asthma attack, How to identify warning signs of an asthma attack, Your childs asthma triggers, Emergency contact information, Guidelines for treatment before activity. […] Exercise is important for all children and teens, including those with asthma. With the right treatment and planning, your child can be active at home and school.
  • #58 School Health Care Plans for Asthma and Allergies | AAFA.org
    https://aafa.org/asthma/living-with-asthma/school-health-care-plans-for-asthma-and-allergies/
    A school health care plan is a written set of documents that outlines your child’s medical condition and needs. An IHCP addresses what the school will do to establish and maintain a safe school environment for the student with asthma. An IHCP outlines what the school will do to create and maintain a safe school environment for your child. The school nurse will work with you, your child, and their doctor(s) to write the IHCP. An ECP is the medical plan your child’s doctor writes for the school nurse to follow. Your child’s ECP should have: Your child’s asthma triggers and/or allergens, Symptoms that require emergency treatment with quick-relief asthma medicine or an epinephrine auto-injector, Instructions on calling 911 to transport your child to the hospital, Emergency contacts. A written school health care plan helps you, your child, and the school staff understand everyone’s roles in ensuring your child’s safety and care while at school.
  • #59 Asthma in Children | Children’s Healthcare of Atlanta
    https://www.choa.org/medical-services/asthma
    We help kids manage symptoms so that they can live full, active lives. That means less down time and less time away from school. […] We have a comprehensive team—doctors, nurses and educators—who will design a personalized asthma care plan for your child. […] Written by your childs doctor, an asthma action plan offers steps to treat your child when he is experiencing signs of asthma. […] The asthma action plan should include: Your childs prescribed controller and quick-relief medications, What to do when your child is having an asthma attack, How to identify warning signs of an asthma attack, Your childs asthma triggers, Emergency contact information, Guidelines for treatment before activity. […] Exercise is important for all children and teens, including those with asthma. With the right treatment and planning, your child can be active at home and school.
  • #60 Your child’s asthma action plan | Asthma + Lung UK
    https://www.asthmaandlung.org.uk/conditions/asthma/child/manage/action-plan
    An asthma action plan is a written plan with all the information you need about your childs asthma in one place. It helps you to look after your childs asthma well. […] Using an asthma action plan is one of the best things you can do to help your child stay well with their asthma. […] Using your childs asthma action plan will help to reduce emergency visits to the doctor and hospital. […] Share your childs action plan with teachers, family, friends, and carers. This will make sure anyone looking after your child understands how to look after their asthma.
  • #61 Colorado School Asthma Care Plan – Colorado Kids With Asthma
    https://coloradokidswithasthma.org/family-asthma-learning/care-plan/
    Step-by-step asthma management plan developed by your family and your provider to guide school nurse in managing your childs asthma in the school setting. […] This form completed by parents and providers is the basis for a childs asthma management at school. […] As part of this plan, families should provide a quick relief inhaler to the school for use at the school. […] Similar to the Home Asthma Action Plan, this School Asthma Asthma Care Plans uses zones to help manage asthma symptoms. […] The school care plan may include exercise/activity pre-treatment in the green zone to prevent symptoms. […] If the child is in the YELLOW ZONE they have Mild symptoms Trouble breathing Wheezing Frequent cough Chest tightness Not able to do activities. […] If a child is in the RED ZONE: this is an emergenty/ EMERGENCY Severe Symptoms Coughs constantly Struggles to breathe Trouble talking (only speaks 3-5 words) Skin of chest and/or neck pull in with breathing Lips/fingernails gray/blue. […] Families can learn more about helping kids with asthma.
  • #62 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is the most common chronic condition among children. Children with asthma are extra sensitive to triggers as their smaller airways are easily affected by swelling and mucus. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. […] Common asthma signs and symptoms include persistent cough, audible wheezing while breathing, shortness of breath, and chest tightness. […] Certain comorbidities can overlap and worsen asthma symptoms, like obstructive sleep apnea, COPD, food allergies, GERD, nasal polyps, pregnancy, and respiratory infections. […] Asthma prevalence rises with urbanization as asthma risk is increased by exposure to various environmental allergens and irritants.
  • #63 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is the most common chronic condition among children. Children with asthma are extra sensitive to triggers as their smaller airways are easily affected by swelling and mucus. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. […] Common asthma signs and symptoms include persistent cough, audible wheezing while breathing, shortness of breath, and chest tightness. […] Certain comorbidities can overlap and worsen asthma symptoms, like obstructive sleep apnea, COPD, food allergies, GERD, nasal polyps, pregnancy, and respiratory infections. […] Asthma prevalence rises with urbanization as asthma risk is increased by exposure to various environmental allergens and irritants.
  • #64 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Learn about the nursing care management of patients with asthma in this nursing study guide. […] The immediate care of patients with asthma depends on the severity of the symptoms. […] Assessment of a patient with asthma includes the following: Assess the patients respiratory status by monitoring the severity of the symptoms. Assess for breath sounds. Assess the patients peak flow. Assess the level of oxygen saturation through the pulse oximeter. Monitor the patients vital signs. […] Based on the data gathered, the nursing diagnoses appropriate for the patient with asthma include: Ineffective airway clearance related to increased production of mucus and bronchospasm. Impaired gas exchange related to altered delivery of inspired O2. Anxiety related to perceived threat of death. […] To achieve success in the treatment of a patient with asthma, the following goals should be applied: Maintenance of airway patency. Expectoration of secretions. Demonstration of absence/reduction of congestion with breath sounds clear, respirations noiseless, improved oxygen exchange. Verbalization of understanding of causes and therapeutic management regimen. Demonstration of behaviors to improve or maintain clear airway. Identification of potential complications and how to initiate appropriate preventive or corrective actions.
  • #65 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Learn about the nursing care management of patients with asthma in this nursing study guide. […] The immediate care of patients with asthma depends on the severity of the symptoms. […] Assessment of a patient with asthma includes the following: Assess the patients respiratory status by monitoring the severity of the symptoms. Assess for breath sounds. Assess the patients peak flow. Assess the level of oxygen saturation through the pulse oximeter. Monitor the patients vital signs. […] Based on the data gathered, the nursing diagnoses appropriate for the patient with asthma include: Ineffective airway clearance related to increased production of mucus and bronchospasm. Impaired gas exchange related to altered delivery of inspired O2. Anxiety related to perceived threat of death. […] To achieve success in the treatment of a patient with asthma, the following goals should be applied: Maintenance of airway patency. Expectoration of secretions. Demonstration of absence/reduction of congestion with breath sounds clear, respirations noiseless, improved oxygen exchange. Verbalization of understanding of causes and therapeutic management regimen. Demonstration of behaviors to improve or maintain clear airway. Identification of potential complications and how to initiate appropriate preventive or corrective actions.
  • #66 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Learn about the nursing care management of patients with asthma in this nursing study guide. […] The immediate care of patients with asthma depends on the severity of the symptoms. […] Assessment of a patient with asthma includes the following: Assess the patients respiratory status by monitoring the severity of the symptoms. Assess for breath sounds. Assess the patients peak flow. Assess the level of oxygen saturation through the pulse oximeter. Monitor the patients vital signs. […] Based on the data gathered, the nursing diagnoses appropriate for the patient with asthma include: Ineffective airway clearance related to increased production of mucus and bronchospasm. Impaired gas exchange related to altered delivery of inspired O2. Anxiety related to perceived threat of death. […] To achieve success in the treatment of a patient with asthma, the following goals should be applied: Maintenance of airway patency. Expectoration of secretions. Demonstration of absence/reduction of congestion with breath sounds clear, respirations noiseless, improved oxygen exchange. Verbalization of understanding of causes and therapeutic management regimen. Demonstration of behaviors to improve or maintain clear airway. Identification of potential complications and how to initiate appropriate preventive or corrective actions.
  • #67 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Learn about the nursing care management of patients with asthma in this nursing study guide. […] The immediate care of patients with asthma depends on the severity of the symptoms. […] Assessment of a patient with asthma includes the following: Assess the patients respiratory status by monitoring the severity of the symptoms. Assess for breath sounds. Assess the patients peak flow. Assess the level of oxygen saturation through the pulse oximeter. Monitor the patients vital signs. […] Based on the data gathered, the nursing diagnoses appropriate for the patient with asthma include: Ineffective airway clearance related to increased production of mucus and bronchospasm. Impaired gas exchange related to altered delivery of inspired O2. Anxiety related to perceived threat of death. […] To achieve success in the treatment of a patient with asthma, the following goals should be applied: Maintenance of airway patency. Expectoration of secretions. Demonstration of absence/reduction of congestion with breath sounds clear, respirations noiseless, improved oxygen exchange. Verbalization of understanding of causes and therapeutic management regimen. Demonstration of behaviors to improve or maintain clear airway. Identification of potential complications and how to initiate appropriate preventive or corrective actions.
  • #68 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Learn about the nursing care management of patients with asthma in this nursing study guide. […] The immediate care of patients with asthma depends on the severity of the symptoms. […] Assessment of a patient with asthma includes the following: Assess the patients respiratory status by monitoring the severity of the symptoms. Assess for breath sounds. Assess the patients peak flow. Assess the level of oxygen saturation through the pulse oximeter. Monitor the patients vital signs. […] Based on the data gathered, the nursing diagnoses appropriate for the patient with asthma include: Ineffective airway clearance related to increased production of mucus and bronchospasm. Impaired gas exchange related to altered delivery of inspired O2. Anxiety related to perceived threat of death. […] To achieve success in the treatment of a patient with asthma, the following goals should be applied: Maintenance of airway patency. Expectoration of secretions. Demonstration of absence/reduction of congestion with breath sounds clear, respirations noiseless, improved oxygen exchange. Verbalization of understanding of causes and therapeutic management regimen. Demonstration of behaviors to improve or maintain clear airway. Identification of potential complications and how to initiate appropriate preventive or corrective actions.
  • #69 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Asthma is a condition where a persons airways (the tubes that carry air in and out of the lungs) get inflamed and narrow. Its like a straw that gets squeezed, making it hard to blow air through. This makes it difficult to breathe. […] Its the same as adult asthma but in kids. Kids might find it hard to play or do sports because of their asthma. Its important to know what triggers a childs asthma so they can avoid it. […] Upon completion of this care plan, nursing students will be able to: Understand the pathophysiology of Childhood Asthma, including the inflammatory processes and airway hyperresponsiveness involved. […] Conduct a thorough nursing assessment of a child with asthma, identifying triggers, symptoms, and risk factors. […] Formulate and prioritize nursing diagnoses tailored to address acute exacerbations, long-term management, and preventive measures for childhood asthma.
  • #70 Nursing Children with Asthma | Ausmed
    https://www.ausmed.com/learn/articles/nursing-children-with-asthma
    In Australia, asthma affects about 10% of people aged 0-14, making it the most common chronic illness experienced by children (AIHW 2022). […] When identifying asthma in children, you might notice signs of respiratory distress. […] A child may be unable to speak in sentences or even may be short of breath after walking a short distance (SA Health 2021). […] Beware of a silent chest. If there is no audible wheeze and no obvious breath sounds, this could mean the child is having a severe asthma attack. This is a life-threatening situation (SA Health 2021). […] Once asthma has been diagnosed, the initial treatment is usually an inhaled bronchodilator (beta-agonist). Salbutamol is most commonly used. […] Spacers are just as effective as nebulisers and should be used for children of all ages.
  • #71 Nursing Children with Asthma | Ausmed
    https://www.ausmed.com/learn/articles/nursing-children-with-asthma
    In Australia, asthma affects about 10% of people aged 0-14, making it the most common chronic illness experienced by children (AIHW 2022). […] When identifying asthma in children, you might notice signs of respiratory distress. […] A child may be unable to speak in sentences or even may be short of breath after walking a short distance (SA Health 2021). […] Beware of a silent chest. If there is no audible wheeze and no obvious breath sounds, this could mean the child is having a severe asthma attack. This is a life-threatening situation (SA Health 2021). […] Once asthma has been diagnosed, the initial treatment is usually an inhaled bronchodilator (beta-agonist). Salbutamol is most commonly used. […] Spacers are just as effective as nebulisers and should be used for children of all ages.
  • #72 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/asthma-nursing-care-plans/
    Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with asthma based on the nurses clinical judgement and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The client will maintain an optimal breathing pattern, as evidenced by relaxed breathing, normal respiratory rate or pattern, and absence of dyspnea. The client will display normal arterial blood gas results. The client will be free of cyanosis and other signs and symptoms of hypoxia. The client will experience no signs of respiratory compromise or complications. The client will demonstrate improved ventilation and adequate oxygenation of tissues by normal ABGs. The client will be free of symptoms of respiratory distress. The client will participate in the treatment regimen within the level of ability and situation. The client will verbalize understanding of the cause and therapeutic management regimen. The client will maintain airway patency as evidenced by clear breath sounds, improved oxygen exchange, normal rate and depth of respiration, and ability to effectively cough out secretions. The client will demonstrate behaviors to improve airway clearance.
  • #73 Asthma Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/asthma/
    Ineffective airway clearance related to obstruction from narrowed lumen and thick mucus OUTCOMES. Respiratory status: Gas exchange; Respiratory status: Ventilation; Symptom control behavior; Treatment behavior: Illness or injury; Comfort level INTERVENTIONS. Airway management; Anxiety reduction; Oxygen therapy; Airway suctioning; Airway insertion and stabilization; Cough enhancement; Mechanical ventilation; Positioning; Respiratory monitoring […] The immediate nursing care of patients with asthma depends on the severity of symptoms. The patient and family are often frightened and anxious because of the patients dyspnea. Therefore, a calm approach is an important aspect of care. […] Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique.
  • #74 Asthma Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/asthma/
    Ineffective airway clearance related to obstruction from narrowed lumen and thick mucus OUTCOMES. Respiratory status: Gas exchange; Respiratory status: Ventilation; Symptom control behavior; Treatment behavior: Illness or injury; Comfort level INTERVENTIONS. Airway management; Anxiety reduction; Oxygen therapy; Airway suctioning; Airway insertion and stabilization; Cough enhancement; Mechanical ventilation; Positioning; Respiratory monitoring […] The immediate nursing care of patients with asthma depends on the severity of symptoms. The patient and family are often frightened and anxious because of the patients dyspnea. Therefore, a calm approach is an important aspect of care. […] Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique.
  • #75 Asthma Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/asthma/
    Ineffective airway clearance related to obstruction from narrowed lumen and thick mucus OUTCOMES. Respiratory status: Gas exchange; Respiratory status: Ventilation; Symptom control behavior; Treatment behavior: Illness or injury; Comfort level INTERVENTIONS. Airway management; Anxiety reduction; Oxygen therapy; Airway suctioning; Airway insertion and stabilization; Cough enhancement; Mechanical ventilation; Positioning; Respiratory monitoring […] The immediate nursing care of patients with asthma depends on the severity of symptoms. The patient and family are often frightened and anxious because of the patients dyspnea. Therefore, a calm approach is an important aspect of care. […] Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique.
  • #76 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    The nurse generally performs the following interventions: Assess history. Obtain a history of allergic reactions to medications before administering medications. Assess respiratory status. Assess the patients respiratory status by monitoring the severity of symptoms, breath sounds, peak flow, pulse oximetry, and vital signs. Assess medications. Identify medications that the patient is currently taking. Administer medications as prescribed and monitor the patients responses to those medications; medications may include an antibiotic if the patient has an underlying respiratory infection. Pharmacologic therapy. Administer medications as prescribed and monitor patients responses to medications. Fluid therapy. Administer fluids if the patient is dehydrated. […] A major challenge is to implement basic asthma management principles at the home and community level.
  • #77 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    The nurse generally performs the following interventions: Assess history. Obtain a history of allergic reactions to medications before administering medications. Assess respiratory status. Assess the patients respiratory status by monitoring the severity of symptoms, breath sounds, peak flow, pulse oximetry, and vital signs. Assess medications. Identify medications that the patient is currently taking. Administer medications as prescribed and monitor the patients responses to those medications; medications may include an antibiotic if the patient has an underlying respiratory infection. Pharmacologic therapy. Administer medications as prescribed and monitor patients responses to medications. Fluid therapy. Administer fluids if the patient is dehydrated. […] A major challenge is to implement basic asthma management principles at the home and community level.
  • #78 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    The nurse generally performs the following interventions: Assess history. Obtain a history of allergic reactions to medications before administering medications. Assess respiratory status. Assess the patients respiratory status by monitoring the severity of symptoms, breath sounds, peak flow, pulse oximetry, and vital signs. Assess medications. Identify medications that the patient is currently taking. Administer medications as prescribed and monitor the patients responses to those medications; medications may include an antibiotic if the patient has an underlying respiratory infection. Pharmacologic therapy. Administer medications as prescribed and monitor patients responses to medications. Fluid therapy. Administer fluids if the patient is dehydrated. […] A major challenge is to implement basic asthma management principles at the home and community level.
  • #79 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    The nurse generally performs the following interventions: Assess history. Obtain a history of allergic reactions to medications before administering medications. Assess respiratory status. Assess the patients respiratory status by monitoring the severity of symptoms, breath sounds, peak flow, pulse oximetry, and vital signs. Assess medications. Identify medications that the patient is currently taking. Administer medications as prescribed and monitor the patients responses to those medications; medications may include an antibiotic if the patient has an underlying respiratory infection. Pharmacologic therapy. Administer medications as prescribed and monitor patients responses to medications. Fluid therapy. Administer fluids if the patient is dehydrated. […] A major challenge is to implement basic asthma management principles at the home and community level.
  • #80 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    The nurse generally performs the following interventions: Assess history. Obtain a history of allergic reactions to medications before administering medications. Assess respiratory status. Assess the patients respiratory status by monitoring the severity of symptoms, breath sounds, peak flow, pulse oximetry, and vital signs. Assess medications. Identify medications that the patient is currently taking. Administer medications as prescribed and monitor the patients responses to those medications; medications may include an antibiotic if the patient has an underlying respiratory infection. Pharmacologic therapy. Administer medications as prescribed and monitor patients responses to medications. Fluid therapy. Administer fluids if the patient is dehydrated. […] A major challenge is to implement basic asthma management principles at the home and community level.
  • #81 Asthma Care Plan and Nursing Diagnosis
    https://simplenursing.com/asthma-nursing-diagnosis-care-plan/
    Some nursing interventions to improve air patency and clearance include: Vital sign and respiration assessment every four hours (or less), suction phlegm secretions and sputum, as needed, provide supplemental oxygen, position the patient in an optimum position for effective breathing, administer prescribed medication (e.g., nebulizers, bronchodilators, steroids, and inhalers). […] An asthma care plan for anxiety can help provide the patient with coping skills, minimize anxiety-related symptoms, and establish calmer conduct and behavior.
  • #82 Asthma Care Plan and Nursing Diagnosis
    https://simplenursing.com/asthma-nursing-diagnosis-care-plan/
    Some nursing interventions to improve air patency and clearance include: Vital sign and respiration assessment every four hours (or less), suction phlegm secretions and sputum, as needed, provide supplemental oxygen, position the patient in an optimum position for effective breathing, administer prescribed medication (e.g., nebulizers, bronchodilators, steroids, and inhalers). […] An asthma care plan for anxiety can help provide the patient with coping skills, minimize anxiety-related symptoms, and establish calmer conduct and behavior.
  • #83 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is the most common chronic condition among children. Children with asthma are extra sensitive to triggers as their smaller airways are easily affected by swelling and mucus. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. […] Common asthma signs and symptoms include persistent cough, audible wheezing while breathing, shortness of breath, and chest tightness. […] Certain comorbidities can overlap and worsen asthma symptoms, like obstructive sleep apnea, COPD, food allergies, GERD, nasal polyps, pregnancy, and respiratory infections. […] Asthma prevalence rises with urbanization as asthma risk is increased by exposure to various environmental allergens and irritants.
  • #84 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Patient teaching is a critical component of care for patients with asthma. Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique. Instruct patient and family about peak-flow monitoring. Obtain current educational materials for the patient based on the patients diagnosis, causative factors, educational level, and cultural background. […] Nurses should emphasize adherence to the prescribed therapy, preventive measures, and the need to keep follow-up appointments with health care providers. Teach patient how to implement an action plan and how and when to seek assistance. […] Home visits by the nurse to assess the home environment for allergens may be indicated for patients with recurrent exacerbations.
  • #85 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Patient teaching is a critical component of care for patients with asthma. Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique. Instruct patient and family about peak-flow monitoring. Obtain current educational materials for the patient based on the patients diagnosis, causative factors, educational level, and cultural background. […] Nurses should emphasize adherence to the prescribed therapy, preventive measures, and the need to keep follow-up appointments with health care providers. Teach patient how to implement an action plan and how and when to seek assistance. […] Home visits by the nurse to assess the home environment for allergens may be indicated for patients with recurrent exacerbations.
  • #86 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Patient teaching is a critical component of care for patients with asthma. Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique. Instruct patient and family about peak-flow monitoring. Obtain current educational materials for the patient based on the patients diagnosis, causative factors, educational level, and cultural background. […] Nurses should emphasize adherence to the prescribed therapy, preventive measures, and the need to keep follow-up appointments with health care providers. Teach patient how to implement an action plan and how and when to seek assistance. […] Home visits by the nurse to assess the home environment for allergens may be indicated for patients with recurrent exacerbations.
  • #87 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Patient teaching is a critical component of care for patients with asthma. Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique. Instruct patient and family about peak-flow monitoring. Obtain current educational materials for the patient based on the patients diagnosis, causative factors, educational level, and cultural background. […] Nurses should emphasize adherence to the prescribed therapy, preventive measures, and the need to keep follow-up appointments with health care providers. Teach patient how to implement an action plan and how and when to seek assistance. […] Home visits by the nurse to assess the home environment for allergens may be indicated for patients with recurrent exacerbations.
  • #88 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Patient teaching is a critical component of care for patients with asthma. Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique. Instruct patient and family about peak-flow monitoring. Obtain current educational materials for the patient based on the patients diagnosis, causative factors, educational level, and cultural background. […] Nurses should emphasize adherence to the prescribed therapy, preventive measures, and the need to keep follow-up appointments with health care providers. Teach patient how to implement an action plan and how and when to seek assistance. […] Home visits by the nurse to assess the home environment for allergens may be indicated for patients with recurrent exacerbations.
  • #89 Pediatric Asthma Treatment & Management: Approach Considerations, Components of Asthma Care, Treatment of Status Asthmaticus
    https://emedicine.medscape.com/article/1000997-treatment
    Once the patient’s condition is classified and therapy has been initiated, continual assessment is important for disease control. Asthma control is defined as „the degree to which the manifestations of asthma are minimized by therapeutic intervention and the goals of therapy are met.” […] Patient education continues to be important in all areas of medicine and is particularly important in asthma. Self-management education should focus on teaching patients the importance of recognizing their own their level of control and signs of progressively worsening asthma symptoms. […] As mentioned above, environmental exposures and irritants can play a strong role in symptom exacerbations. Therefore, in patients who have persistent asthma, the use of skin testing or in vitro testing to assess sensitivity to perennial indoor allergens is important.
  • #90 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Patient teaching is a critical component of care for patients with asthma. Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique. Instruct patient and family about peak-flow monitoring. Obtain current educational materials for the patient based on the patients diagnosis, causative factors, educational level, and cultural background. […] Nurses should emphasize adherence to the prescribed therapy, preventive measures, and the need to keep follow-up appointments with health care providers. Teach patient how to implement an action plan and how and when to seek assistance. […] Home visits by the nurse to assess the home environment for allergens may be indicated for patients with recurrent exacerbations.
  • #91 Clinical: Managing asthma in children | Nursing in Practice
    https://www.nursinginpractice.com/clinical/clinical-managing-asthma-in-children/
    A personalised child asthma action plan allows you to set out clearly what actions should be taken every day, even if the child appears well; when they have increased symptoms after contact with a trigger; and in the event of an attack. […] One of the biggest barriers to living symptom free is poor inhaler technique. […] Children should have their asthma reviewed twice a year, so any change can be recorded and treatment adjusted if necessary. […] Nurses should check that children are using inhalers and spacers correctly, and that they (and their parents) understand what each one does. […] Studies show that although there is a possibility that children will grow up to be shorter, the growth restriction is usually less than 1cm whereas leaving the inflammation untreated raises the risk of life-threatening asthma attacks and long-term lung damage.
  • #92 Clinical: Managing asthma in children | Nursing in Practice
    https://www.nursinginpractice.com/clinical/clinical-managing-asthma-in-children/
    A personalised child asthma action plan allows you to set out clearly what actions should be taken every day, even if the child appears well; when they have increased symptoms after contact with a trigger; and in the event of an attack. […] One of the biggest barriers to living symptom free is poor inhaler technique. […] Children should have their asthma reviewed twice a year, so any change can be recorded and treatment adjusted if necessary. […] Nurses should check that children are using inhalers and spacers correctly, and that they (and their parents) understand what each one does. […] Studies show that although there is a possibility that children will grow up to be shorter, the growth restriction is usually less than 1cm whereas leaving the inflammation untreated raises the risk of life-threatening asthma attacks and long-term lung damage.
  • #93 Nursing Children with Asthma | Ausmed
    https://www.ausmed.com/learn/articles/nursing-children-with-asthma
    In Australia, asthma affects about 10% of people aged 0-14, making it the most common chronic illness experienced by children (AIHW 2022). […] When identifying asthma in children, you might notice signs of respiratory distress. […] A child may be unable to speak in sentences or even may be short of breath after walking a short distance (SA Health 2021). […] Beware of a silent chest. If there is no audible wheeze and no obvious breath sounds, this could mean the child is having a severe asthma attack. This is a life-threatening situation (SA Health 2021). […] Once asthma has been diagnosed, the initial treatment is usually an inhaled bronchodilator (beta-agonist). Salbutamol is most commonly used. […] Spacers are just as effective as nebulisers and should be used for children of all ages.
  • #94 Asthma inpatient discharge education
    https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Asthma_inpatient_discharge_education/
    It is important to ensure patients and parents/carers have an understanding of every medication prescribed, including Salbutamol, and if applicable Prednisolone and Preventers. […] A spacer device should be used for children of all ages, including adolescents, whenever they use a MDI. […] All patients with asthma should have a clear follow up plan on discharge. […] Asthma increases the risk of fatal anaphylaxis. Close monitoring of asthma and allergy follow-up is essential. […] Alternative education resources are essential for these families: Interpreter and NESB services should be utilised to provide inpatient asthma education.
  • #95 Management of Asthma in Children 5 Years and Under – Hossny E (Updated 2020)
    https://www.worldallergy.org/component/content/article/management-of-asthma-in-children-5-years-and-under-hossny-e-updated-2020?catid=16&Itemid=101
    The goals of asthma management in young children are to achieve good control of symptoms and maintain normal activities, minimize risk of flare-ups, maintain lung functions, and minimize side effects from medications. The Global Initiative for Asthma (GINA) offered a stepwise approach to treatment that is customized to the individual child taking into account the effectiveness of available medications, their safety, and their cost to the payer or family. […] An asthma action plan should enable family members and care givers to recognize asthma worsening or flare-up, initiate treatment, and identify when urgent hospital care is necessary. […] For young children, studies have found adherence rates frequently below 50%. Parents may have difficulty following asthma management recommendations, such as identification and avoidance of triggers and proper use of inhalation devices. As a result, many children experience flares that may significantly alter their quality of life and well being that could otherwise have been avoided. […] Despite current advances in asthma management and the development of evidence-based and evidence-informed guidelines, preschoolers remain inadequately served.
  • #96 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is more likely to affect obese or overweight patients, and obesity can lead to worsening asthma symptoms and poor asthma control. […] The patients socioeconomic status can reveal factors that may contribute to asthma symptoms and attacks. […] Asthma flare-ups can be frightening. Assess if the patient is fearful of partaking in exercise or activities for fear of an asthma attack. […] Exercise is necessary for health. Encourage activities such as walking or yoga which are generally safe for asthmatics. […] Long-term control medications are taken daily or scheduled to control and prevent flares. […] Controlling the environment is essential to prevent recurrent attacks. […] Each individual will have their own asthma triggers. Common triggers include dust, pet hair, pollen, mold, pollution, infections, high humidity, and even stress. […] Children may take an interest in managing their asthma and making their own decisions.
  • #97 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Asthma is more likely to affect obese or overweight patients, and obesity can lead to worsening asthma symptoms and poor asthma control. […] The patients socioeconomic status can reveal factors that may contribute to asthma symptoms and attacks. […] Asthma flare-ups can be frightening. Assess if the patient is fearful of partaking in exercise or activities for fear of an asthma attack. […] Exercise is necessary for health. Encourage activities such as walking or yoga which are generally safe for asthmatics. […] Long-term control medications are taken daily or scheduled to control and prevent flares. […] Controlling the environment is essential to prevent recurrent attacks. […] Each individual will have their own asthma triggers. Common triggers include dust, pet hair, pollen, mold, pollution, infections, high humidity, and even stress. […] Children may take an interest in managing their asthma and making their own decisions.
  • #98 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/asthma-nursing-care-plans/
    Therapeutic interventions and nursing actions for patients with asthma may include: 1. Improving Breathing Pattern Gas Exchange 2. Maintaining Patent Airways Reducing Airway Inflammation 3. Medical Administration and Pharmacologic Support 4. Preventing Exacerbation of Asthma 5. Reducing Anxiety Improving Coping 6. Providing Patient Education Health Teachings. […] Educate about environmental control and allergen avoidance. Environmental exposures and irritants can play a strong role in symptom exacerbations. […] Educate regarding allergen immunotherapy. The National Asthma Education and Prevention Program Expert Panel Report recommends that immunotherapy be considered if a relationship is clear between symptoms and exposure to an unavoidable allergen to which the client is sensitive; symptoms occur all year or during a major portion of the year, and if symptoms are difficult to control with pharmacologic management because the medication is ineffective. […] Assist in intubation as indicated. Despite best efforts, some clients may require endotracheal intubation.
  • #99 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma?quiz-view=open
    This plan outlines the patients known triggers and how to manage symptoms that arise. […] Provide education for patients/parents regarding the use of maintenance medications and how to recognize and avoid triggers. […] Help the patient to understand what triggers asthma attacks and how to avoid those situations. […] Help parents understand that lifestyle and environmental changes may be made, including pets in the home and exposure to cigarette smoke. […] The key points for childhood asthma, remember it is a chronic inflammation of the airways and it makes it very difficult to breathe.
  • #100
    https://www.nasn.org/nasn-resources/resources-by-topic/asthma
    Asthma is a leading chronic illness among children and adolescents in the United States. […] Asthma-friendly schools are those that make the effort to create safe and supportive learning environments for students with asthma. They have policies and procedures that allow students to successfully manage their asthma. […] Many of NASN’s Position Statements apply to the care and support of students with Asthma including: Use of Individualized Healthcare Plans to Support School Health Services. […] School Nursing Evidence-Based Clinical Practice Guideline: Students with Asthma. […] Asthma-Friendly Schools Initiative The Lung Association’s comprehensive approach to asthma management in schools. Provides resources to create a measurable, long-term asthma management plan. […] Management of Asthma Exacerbations: School Treatment Steps to follow for an asthma episode in the school setting when a nurse is not available.
  • #101 Asthma – NYC Health
    https://www.nyc.gov/site/doh/health/health-topics/asthma.page
    Your school needs to know if your child has asthma. That way, your child can take advantage of health programs that will help keep their asthma under control. Submit an Asthma Medication Administration Form so your child can use their asthma medication at school. […] The Office of School Health provides various services for children in school, including medicine administration and education. […] The Healthy Neighborhoods Program provides free home assessments for children and adults diagnosed with persistent asthma by a health care provider. If staff find environmental asthma triggers or other home health hazards, they will work with property owners to correct the problems.
  • #102 School Health Care Plans for Asthma and Allergies | AAFA.org
    https://aafa.org/asthma/living-with-asthma/school-health-care-plans-for-asthma-and-allergies/
    A school health care plan is a written set of documents that outlines your child’s medical condition and needs. An IHCP addresses what the school will do to establish and maintain a safe school environment for the student with asthma. An IHCP outlines what the school will do to create and maintain a safe school environment for your child. The school nurse will work with you, your child, and their doctor(s) to write the IHCP. An ECP is the medical plan your child’s doctor writes for the school nurse to follow. Your child’s ECP should have: Your child’s asthma triggers and/or allergens, Symptoms that require emergency treatment with quick-relief asthma medicine or an epinephrine auto-injector, Instructions on calling 911 to transport your child to the hospital, Emergency contacts. A written school health care plan helps you, your child, and the school staff understand everyone’s roles in ensuring your child’s safety and care while at school.
  • #103 School Health Care Plans for Asthma and Allergies | AAFA.org
    https://aafa.org/asthma/living-with-asthma/school-health-care-plans-for-asthma-and-allergies/
    A school health care plan is a written set of documents that outlines your child’s medical condition and needs. An IHCP addresses what the school will do to establish and maintain a safe school environment for the student with asthma. An IHCP outlines what the school will do to create and maintain a safe school environment for your child. The school nurse will work with you, your child, and their doctor(s) to write the IHCP. An ECP is the medical plan your child’s doctor writes for the school nurse to follow. Your child’s ECP should have: Your child’s asthma triggers and/or allergens, Symptoms that require emergency treatment with quick-relief asthma medicine or an epinephrine auto-injector, Instructions on calling 911 to transport your child to the hospital, Emergency contacts. A written school health care plan helps you, your child, and the school staff understand everyone’s roles in ensuring your child’s safety and care while at school.
  • #104 School Health Care Plans for Asthma and Allergies | AAFA.org
    https://aafa.org/asthma/living-with-asthma/school-health-care-plans-for-asthma-and-allergies/
    If you feel your child needs a 504 plan, also contact the school district’s Section 504 coordinator. Ask to have your child evaluated for a 504 plan. Your child’s school health care plan may include: Signs and symptoms of an asthma episode or attack or an allergic reaction, List of all asthma triggers and allergies, Asthma Action Plan and/or Anaphylaxis Action Plan, Medicine authorization form, Special dietary meals accommodation form for food allergies, What staff will be trained and how, Use and training of substitute teachers, When a school nurse is not on site, who will handle their responsibilities, Responsibilities of the parent, child, nurse, teacher, and other school staff.
  • #105 School Health Care Plans for Asthma and Allergies | AAFA.org
    https://aafa.org/asthma/living-with-asthma/school-health-care-plans-for-asthma-and-allergies/
    A school health care plan is a written set of documents that outlines your child’s medical condition and needs. An IHCP addresses what the school will do to establish and maintain a safe school environment for the student with asthma. An IHCP outlines what the school will do to create and maintain a safe school environment for your child. The school nurse will work with you, your child, and their doctor(s) to write the IHCP. An ECP is the medical plan your child’s doctor writes for the school nurse to follow. Your child’s ECP should have: Your child’s asthma triggers and/or allergens, Symptoms that require emergency treatment with quick-relief asthma medicine or an epinephrine auto-injector, Instructions on calling 911 to transport your child to the hospital, Emergency contacts. A written school health care plan helps you, your child, and the school staff understand everyone’s roles in ensuring your child’s safety and care while at school.
  • #106 Asthma – NYC Health
    https://www.nyc.gov/site/doh/health/health-topics/asthma.page
    Your school needs to know if your child has asthma. That way, your child can take advantage of health programs that will help keep their asthma under control. Submit an Asthma Medication Administration Form so your child can use their asthma medication at school. […] The Office of School Health provides various services for children in school, including medicine administration and education. […] The Healthy Neighborhoods Program provides free home assessments for children and adults diagnosed with persistent asthma by a health care provider. If staff find environmental asthma triggers or other home health hazards, they will work with property owners to correct the problems.
  • #107 Asthma Nursing Care Management and Study Guide
    https://nurseslabs.com/asthma/
    Patient teaching is a critical component of care for patients with asthma. Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique. Instruct patient and family about peak-flow monitoring. Obtain current educational materials for the patient based on the patients diagnosis, causative factors, educational level, and cultural background. […] Nurses should emphasize adherence to the prescribed therapy, preventive measures, and the need to keep follow-up appointments with health care providers. Teach patient how to implement an action plan and how and when to seek assistance. […] Home visits by the nurse to assess the home environment for allergens may be indicated for patients with recurrent exacerbations.
  • #108 Your child’s asthma action plan | Asthma + Lung UK
    https://www.asthmaandlung.org.uk/conditions/asthma/child/manage/action-plan
    An asthma action plan is a written plan with all the information you need about your childs asthma in one place. It helps you to look after your childs asthma well. […] Using an asthma action plan is one of the best things you can do to help your child stay well with their asthma. […] Using your childs asthma action plan will help to reduce emergency visits to the doctor and hospital. […] Share your childs action plan with teachers, family, friends, and carers. This will make sure anyone looking after your child understands how to look after their asthma.
  • #109 Patient education: Asthma treatment in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/asthma-treatment-in-children-beyond-the-basics
    In general, an asthma attack or „exacerbation” refers to an increase in symptoms above one’s usual level in a way that interferes with normal activities. Asthma attacks can come on over a few days or can happen suddenly. […] Your child’s health care provider is the best source of information for questions and concerns related to your child’s medical problem.
  • #110 Managing Asthma (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/asthma-mgmt.html
    After your child has had a few flare-ups, you may start to notice when one is going to happen. […] Know when your child’s symptoms call for medical care, or even a trip to the emergency room (ER). […] An asthma diary can help you predict if a flare-up is on its way by allowing you to keep track of asthma symptoms (when they happen), need for medicines, and more.
  • #111 Managing Asthma (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/asthma-mgmt.html
    After your child has had a few flare-ups, you may start to notice when one is going to happen. […] Know when your child’s symptoms call for medical care, or even a trip to the emergency room (ER). […] An asthma diary can help you predict if a flare-up is on its way by allowing you to keep track of asthma symptoms (when they happen), need for medicines, and more.
  • #112 Pediatric Asthma | Symptoms, Diagnosis & Treatment
    https://www.cincinnatichildrens.org/health/a/asthma
    Have your child rest quietly. […] Your child has increased difficulty breathing unrelieved by albuterol or other rescue medicines on your child’s asthma plan. […] Your child breathes fast. […] Your child cannot take medicines or fluids by mouth. […] Your child repeatedly coughs until vomiting. […] Your infant / young child’s chest sinks in while breathing. […] Your child continues to wheeze, breathe hard, or cough, even though rescue medications have been given. […] Your child becomes sweaty or complains of chest pain. […] Your child has a bluish color around his/her mouth. […] Your child’s chest sinks in when he/she breathes in.
  • #113 Colorado School Asthma Care Plan – Colorado Kids With Asthma
    https://coloradokidswithasthma.org/family-asthma-learning/care-plan/
    Step-by-step asthma management plan developed by your family and your provider to guide school nurse in managing your childs asthma in the school setting. […] This form completed by parents and providers is the basis for a childs asthma management at school. […] As part of this plan, families should provide a quick relief inhaler to the school for use at the school. […] Similar to the Home Asthma Action Plan, this School Asthma Asthma Care Plans uses zones to help manage asthma symptoms. […] The school care plan may include exercise/activity pre-treatment in the green zone to prevent symptoms. […] If the child is in the YELLOW ZONE they have Mild symptoms Trouble breathing Wheezing Frequent cough Chest tightness Not able to do activities. […] If a child is in the RED ZONE: this is an emergenty/ EMERGENCY Severe Symptoms Coughs constantly Struggles to breathe Trouble talking (only speaks 3-5 words) Skin of chest and/or neck pull in with breathing Lips/fingernails gray/blue. […] Families can learn more about helping kids with asthma.
  • #114 Colorado School Asthma Care Plan – Colorado Kids With Asthma
    https://coloradokidswithasthma.org/family-asthma-learning/care-plan/
    Step-by-step asthma management plan developed by your family and your provider to guide school nurse in managing your childs asthma in the school setting. […] This form completed by parents and providers is the basis for a childs asthma management at school. […] As part of this plan, families should provide a quick relief inhaler to the school for use at the school. […] Similar to the Home Asthma Action Plan, this School Asthma Asthma Care Plans uses zones to help manage asthma symptoms. […] The school care plan may include exercise/activity pre-treatment in the green zone to prevent symptoms. […] If the child is in the YELLOW ZONE they have Mild symptoms Trouble breathing Wheezing Frequent cough Chest tightness Not able to do activities. […] If a child is in the RED ZONE: this is an emergenty/ EMERGENCY Severe Symptoms Coughs constantly Struggles to breathe Trouble talking (only speaks 3-5 words) Skin of chest and/or neck pull in with breathing Lips/fingernails gray/blue. […] Families can learn more about helping kids with asthma.
  • #115 Pediatric Asthma (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568735/
    Patients who have asthma may experience a range of respiratory symptoms, such as wheezing, shortness of breath, cough, and chest tightness. […] Initial management of a child who presents to the emergency department with an acute asthma exacerbation includes bronchodilators and steroids. […] All children with asthma should have an asthma action plan updated at every office visit and revisited at any emergent or unscheduled visit. […] Older children with asthma should be warned against smoking and exposure to environments that trigger attacks.
  • #116 Pediatric Asthma (Nursing) Article
    https://www.statpearls.com/articlelibrary/nursingarticle/26821
    Pediatric Asthma (Nursing) […] Consider important history and physical exam findings in childhood asthma […] List treatment options both for chronic management and acute exacerbations […] Initial management of a child who presents to the emergency department with an acute asthma exacerbation includes bronchodilators and steroids […] All children with asthma should have an asthma action plan updated at every office visit and revisited at any emergent or unscheduled visit.
  • #117 Pediatric Asthma | Symptoms, Diagnosis & Treatment
    https://www.cincinnatichildrens.org/health/a/asthma
    Have your child rest quietly. […] Your child has increased difficulty breathing unrelieved by albuterol or other rescue medicines on your child’s asthma plan. […] Your child breathes fast. […] Your child cannot take medicines or fluids by mouth. […] Your child repeatedly coughs until vomiting. […] Your infant / young child’s chest sinks in while breathing. […] Your child continues to wheeze, breathe hard, or cough, even though rescue medications have been given. […] Your child becomes sweaty or complains of chest pain. […] Your child has a bluish color around his/her mouth. […] Your child’s chest sinks in when he/she breathes in.
  • #118 Pediatric Asthma | Symptoms, Diagnosis & Treatment
    https://www.cincinnatichildrens.org/health/a/asthma
    Have your child rest quietly. […] Your child has increased difficulty breathing unrelieved by albuterol or other rescue medicines on your child’s asthma plan. […] Your child breathes fast. […] Your child cannot take medicines or fluids by mouth. […] Your child repeatedly coughs until vomiting. […] Your infant / young child’s chest sinks in while breathing. […] Your child continues to wheeze, breathe hard, or cough, even though rescue medications have been given. […] Your child becomes sweaty or complains of chest pain. […] Your child has a bluish color around his/her mouth. […] Your child’s chest sinks in when he/she breathes in.
  • #119 Asthma in Children: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/6776-asthma-in-children
    Asthma is a lung disease that causes your airways to swell and narrow, making it very hard to breathe. If asthma isnt well controlled, it can cause a variety of issues and complications. It can cause your child to miss school and even end up in the hospital. Its important to have an asthma action plan to help manage your childs condition. […] Asthma can begin at any age, but it most often starts during childhood when your childs immune system is still developing. Most children who get asthma have their first symptom by age 5. Asthma can cause your child to miss school and even end up in the hospital. Its important to have an asthma treatment plan to help manage your childs condition. […] If asthma isnt well-managed, it can cause a variety of issues and complications. These may include: Severe asthma attacks. Missed school or other activities. Frequent hospitalizations and/or emergency department visits. Permanent lung damage.
  • #120 Asthma Exacerbation Nursing Care Plan
    https://www.thenursingjournal.com/post/asthma-exacerbation-nursing-care
    During an Asthma Exacerbation, most patients will have severe dyspnoea which can interfere with their eating habits. […] The effects of an asthma exacerbation can linger for days, and very often dyspnoea would interfere with the patients activities of daily living and their social life. […] Many patients who have experienced an Asthma Exacerbation say that it felt as if they were suffocating and that they were scared they might die. […] In some cases, exacerbations can be avoided but its almost impossible to avoid them if the patient doesnt understand the disease in the first place. […] After having gone through all the diagnoses and management, you will need to re-evaluate the situation and see if theres been any improvement or deterioration in your patient.
  • #121 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma
    Asthma is a condition where a persons airways (the tubes that carry air in and out of the lungs) get inflamed and narrow. Its like a straw that gets squeezed, making it hard to blow air through. This makes it difficult to breathe. […] Its the same as adult asthma but in kids. Kids might find it hard to play or do sports because of their asthma. Its important to know what triggers a childs asthma so they can avoid it. […] Upon completion of this care plan, nursing students will be able to: Understand the pathophysiology of Childhood Asthma, including the inflammatory processes and airway hyperresponsiveness involved. […] Conduct a thorough nursing assessment of a child with asthma, identifying triggers, symptoms, and risk factors. […] Formulate and prioritize nursing diagnoses tailored to address acute exacerbations, long-term management, and preventive measures for childhood asthma.
  • #122 Clinical: Managing asthma in children | Nursing in Practice
    https://www.nursinginpractice.com/clinical/clinical-managing-asthma-in-children/
    A childs asthma affects the whole family. […] Asthma is a variable condition symptoms and triggers may change over time. […] Children can begin to monitor and manage their own asthma from a young age. […] The aim is for them to have: No daytime symptoms. No night-time waking due to asthma. No need for rescue medicines (their blue reliever inhaler). No asthma attacks. For their asthma not to place any limits on their daily life (including school or exercise). […] An up-to-date, personalised written asthma action plan. […] Twice-yearly reviews with a GP or nurse. […] Adhering to prescribed asthma treatments. […] Parents who have been told that their children have suspected asthma often feel frustrated that they cant get a formal diagnosis more quickly. […] Explaining to parents how each of their childs medicines works and regularly checking inhaler technique could help them support children to be adherent.
  • #123
    https://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/Caring-for-Children-with-Asthma-During-COVID-19.aspx
    If your child has asthma, you may worry whether they are at greater risk from respiratory viruses such as COVID-19, influenza (flu) and respiratory syncytial virus (RSV). Here are some common questions and ways to help keep children with asthma healthy while respiratory viruses are spreading. […] It is always important to have well controlled asthma. With respiratory viruses like flu, RSV and COVID-19 surging, this is especially important. We want to prevent children from needing emergency department care when possible. […] Having uncontrolled asthma is a risk factor for asthma attacks, so control is the goal. […] For children with asthma, we recommend that parents, other caregivers and school or child care have an asthma action plan. Your child’s asthma action plan will tell you what to do every day for asthma care, as well as what to do if your child has asthma symptoms.
  • #124 Asthma Program | Children’s Hospital Colorado
    https://www.childrenscolorado.org/doctors-and-departments/departments/breathing-institute/programs/asthma/
    If your child has asthma, a supportive team of pediatric specialists makes all the difference in managing their care. Childrens Hospital Colorado works with your family to customize a treatment plan so your child can enjoy a healthy, active life. Our Asthma Program cares for more than 5,000 children of all ages each year, including more than 700 with high-risk asthma. We also help decrease emergency room visits and hospitalizations related to asthma. […] Controlling asthma improves your childs health and quality of life. A child with well-controlled asthma can run and play easily, go to school every day and sleep without coughing. […] Our pediatric asthma experts support your family through Childrens Colorados Breathing Institute, where we specialize in childrens lung health. […] Many of our asthma experts are certified asthma educators who help you and your child manage asthma in your home, school and community.
  • #125 Asthma Exacerbation [Pediatric Inpatient]
    https://elsevier.health/en-US/preview/asthma-exacerbation-pediatric
    Youth may be at risk for developing anxiety disorders when chronic medical conditions, such as asthma, exists. […] During pregnancy, asthma symptoms may worsen, improve or stay the same; exacerbations are most common in the second trimester due to hormonal changes or reduction in asthma medication. International guidelines can guide practitioners regarding medications that are safe during pregnancy. […] A significant percentage of women who have asthma experience an exacerbation during labor and delivery. An exacerbation should be treated the same during labor as at any other time.
  • #126 Asthma Exacerbation Nursing Care Plan
    https://www.thenursingjournal.com/post/asthma-exacerbation-nursing-care
    During an Asthma Exacerbation, most patients will have severe dyspnoea which can interfere with their eating habits. […] The effects of an asthma exacerbation can linger for days, and very often dyspnoea would interfere with the patients activities of daily living and their social life. […] Many patients who have experienced an Asthma Exacerbation say that it felt as if they were suffocating and that they were scared they might die. […] In some cases, exacerbations can be avoided but its almost impossible to avoid them if the patient doesnt understand the disease in the first place. […] After having gone through all the diagnoses and management, you will need to re-evaluate the situation and see if theres been any improvement or deterioration in your patient.
  • #127 Asthma Exacerbation [Pediatric Inpatient]
    https://elsevier.health/en-US/preview/asthma-exacerbation-pediatric
    Care of the hospitalized child experiencing symptoms related to airway inflammation and hyperresponsiveness. […] Inhaled corticosteroid therapy should be standard care at discharge; however, it may be used in tandem with systemic corticosteroid therapy during hospitalization. […] Patients with asthma have a significantly increased risk of suicidal ideation, attempts and mortality. Suicide screening should be provided and appropriate mental health referrals when necessary. […] Evaluate self-management (asthma action plan) adherence and effectiveness of coping skills; encourage expression of feelings, expectations and concerns related to symptom management, quality of life and wellbeing. […] Comorbidities, such as rhinosinusitis, obesity, gastroesophageal reflux disease and psychiatric disorders may contribute to poor symptom control and may require additional specialty services to manage treatment.
  • #128 Asthma Exacerbation [Pediatric Inpatient]
    https://elsevier.health/en-US/preview/asthma-exacerbation-pediatric
    Care of the hospitalized child experiencing symptoms related to airway inflammation and hyperresponsiveness. […] Inhaled corticosteroid therapy should be standard care at discharge; however, it may be used in tandem with systemic corticosteroid therapy during hospitalization. […] Patients with asthma have a significantly increased risk of suicidal ideation, attempts and mortality. Suicide screening should be provided and appropriate mental health referrals when necessary. […] Evaluate self-management (asthma action plan) adherence and effectiveness of coping skills; encourage expression of feelings, expectations and concerns related to symptom management, quality of life and wellbeing. […] Comorbidities, such as rhinosinusitis, obesity, gastroesophageal reflux disease and psychiatric disorders may contribute to poor symptom control and may require additional specialty services to manage treatment.
  • #129 Asthma Exacerbation [Pediatric Inpatient]
    https://elsevier.health/en-US/preview/asthma-exacerbation-pediatric
    Care of the hospitalized child experiencing symptoms related to airway inflammation and hyperresponsiveness. […] Inhaled corticosteroid therapy should be standard care at discharge; however, it may be used in tandem with systemic corticosteroid therapy during hospitalization. […] Patients with asthma have a significantly increased risk of suicidal ideation, attempts and mortality. Suicide screening should be provided and appropriate mental health referrals when necessary. […] Evaluate self-management (asthma action plan) adherence and effectiveness of coping skills; encourage expression of feelings, expectations and concerns related to symptom management, quality of life and wellbeing. […] Comorbidities, such as rhinosinusitis, obesity, gastroesophageal reflux disease and psychiatric disorders may contribute to poor symptom control and may require additional specialty services to manage treatment.
  • #130 Pediatric Asthma Center | Children’s Hospital Pittsburgh
    https://www.chp.edu/our-services/pulmonology/services/asthma
    The Pediatric Asthma Center at UPMC Children’s Hospital of Pittsburgh is dedicated to improving awareness and reducing the burden of childhood asthma through clinical care, research, community outreach, and education. […] The Pediatric Asthma Center is committed to excellence in the current and future care of all children with asthma. […] This multidisciplinary approach maximizes our expertise in each of these areas to greatly enhance the early diagnosis and treatment of children with asthma. […] The Asthma Center at Childrens Hospital is outfitted with state-of-the-art equipment and technology to detect asthmatic conditions in children as young as 2 years old. […] Earlier diagnosis and more effective management of this age group decreases the number of cases of undiagnosed asthma, and help greatly reduce the number of emergency room visits by children with asthma.
  • #131 Diagnosis and management of asthma in children | BMJ Paediatrics Open
    https://bmjpaedsopen.bmj.com/content/6/1/e001277
    Self-management aspects of paediatric asthma management include asthma education and PAAPs. […] PAAPs are written documents that are given to young people and/or caregivers that advise them on day-to-day asthma management and what to do in the event of an attack. […] The GINA 2021 guidelines advise that clinicians should consider stepping down asthma management to the lowest effective treatment regimen when good symptom control has been achieved for at least 3 months. […] Most paediatric asthma cases are diagnosed in primary care without the input of general paediatricians or paediatric respiratory physicians. […] A key element of specialist care is a multidisciplinary team consisting of a number of professionals, including specialist nurses, psychologists, physiologists and pharmacists.
  • #132 Asthma Program | Children’s Hospital Colorado
    https://www.childrenscolorado.org/doctors-and-departments/departments/breathing-institute/programs/asthma/
    Every child has unique triggers and symptoms, so asthma requires personalized care. We help you develop an asthma action plan that meets your childs needs and suits your familys routine. This plan helps remove barriers to treatment and reduce symptoms, flare-ups and emergency room visits. […] Our Multidisciplinary Asthma Clinic (MAC) serves kids with difficult-to-treat and severe asthma when medication and standard therapies havent helped. […] Turn to Childrens Colorado for comprehensive, specialized care for pediatric asthma. We offer: Pediatric asthma expertise: At more than 170 experts strong, our hospital has one of the nations largest programs focusing on childrens lung health. […] Our community-based asthma initiatives include the school-based AsthmaCOMP and Just Keep Breathing home visit programs, and asthma camps. We also provide school asthma action plans to help your child manage asthma and focus on learning.
  • #133 Patient education: Asthma treatment in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/asthma-treatment-in-children-beyond-the-basics
    Children with persistent asthma need to take medication on a daily basis to keep their asthma under control, even if they do not have symptoms every day. The medications used for this are called „long-term controller” medications. […] Quick-relief medications are used to relieve asthma symptoms when they happen. Short-acting beta agonists are a type of „bronchodilator” medication. They relieve symptoms rapidly by temporarily relaxing the muscles around narrowed airways, allowing more air to get through. […] Inhaled steroids decrease inflammation of the airways over time. Daily treatment with an inhaled steroid reduces the frequency of symptoms, improves quality of life, and decreases the risk of serious asthma attacks. […] Children with more severe persistent asthma that is difficult to control may need to take other medications in addition to those described above. These include biologics.
  • #134 Pediatric Asthma Treatment & Management: Approach Considerations, Components of Asthma Care, Treatment of Status Asthmaticus
    https://emedicine.medscape.com/article/1000997-treatment
    Pharmacologic management includes the use of agents for control and agents for relief. Control agents include inhaled corticosteroids, inhaled cromolyn or nedocromil, long-acting bronchodilators, theophylline, leukotriene modifiers, and more recent strategies such as the use of the anti-immunoglobulin E (IgE) antibody (omalizumab) or IL-5 monoclonal antibodies (mepolizumab, benralizumab), or IL-4 receptor alpha monoclonal antibody (dupilumab). […] For all but the most severely affected patients, the ultimate goal is to prevent symptoms, minimize morbidity from acute episodes, and prevent functional and psychological morbidity to provide a healthy (or near healthy) lifestyle appropriate to the age of child. […] Regular follow-up visits are essential to ensure control and appropriate therapeutic adjustments. In general, patients should be assessed every 1-6 months. At every visit, adherence, environmental control, and comorbid conditions should be checked.
  • #135 Pediatric Severe Asthma Program | NYU Langone Health
    https://nyulangone.org/locations/pediatric-severe-asthma-program
    Treatment for severe asthma can include antibiotics to treat bacterial infection, inhaled corticosteroids and nonsteroidal asthma medications that target inflammation, or biologic medications that pinpoint the specific type of inflammation believed to trigger asthma symptoms. […] Our team includes board-certified pediatric pulmonologists, respiratory therapists, and nurse practitioners.
  • #136 Diagnosis and management of asthma in children | BMJ Paediatrics Open
    https://bmjpaedsopen.bmj.com/content/6/1/e001277
    Asthma attacks should be viewed as never events. […] It is essential that a postattack review is conducted to review asthma maintenance treatment, as this is likely to be suboptimal. […] The management of paediatric asthma is changing over time with, just as two examples, developments in technology and service structure. […] Good asthma care extends beyond providing medication and should include education, as well as supported self-management advice.
  • #137 Pediatric Asthma Center | Children’s Hospital Pittsburgh
    https://www.chp.edu/our-services/pulmonology/services/asthma
    The Pediatric Asthma Center at UPMC Children’s Hospital of Pittsburgh is dedicated to improving awareness and reducing the burden of childhood asthma through clinical care, research, community outreach, and education. […] The Pediatric Asthma Center is committed to excellence in the current and future care of all children with asthma. […] This multidisciplinary approach maximizes our expertise in each of these areas to greatly enhance the early diagnosis and treatment of children with asthma. […] The Asthma Center at Childrens Hospital is outfitted with state-of-the-art equipment and technology to detect asthmatic conditions in children as young as 2 years old. […] Earlier diagnosis and more effective management of this age group decreases the number of cases of undiagnosed asthma, and help greatly reduce the number of emergency room visits by children with asthma.
  • #138 Pediatric Asthma Center | Children’s Hospital Pittsburgh
    https://www.chp.edu/our-services/pulmonology/services/asthma
    The Pediatric Asthma Center at UPMC Children’s Hospital of Pittsburgh is dedicated to improving awareness and reducing the burden of childhood asthma through clinical care, research, community outreach, and education. […] The Pediatric Asthma Center is committed to excellence in the current and future care of all children with asthma. […] This multidisciplinary approach maximizes our expertise in each of these areas to greatly enhance the early diagnosis and treatment of children with asthma. […] The Asthma Center at Childrens Hospital is outfitted with state-of-the-art equipment and technology to detect asthmatic conditions in children as young as 2 years old. […] Earlier diagnosis and more effective management of this age group decreases the number of cases of undiagnosed asthma, and help greatly reduce the number of emergency room visits by children with asthma.
  • #139 Patient education: Asthma treatment in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/asthma-treatment-in-children-beyond-the-basics
    Successful treatment of asthma involves three components: Identifying and avoiding asthma triggers, regularly monitoring asthma symptoms and lung function, and understanding how and when to use medications to treat asthma. […] There are several things you can do to help keep your child’s asthma well controlled. These include learning about the condition, understanding how and when to give medications, identifying and avoiding things that make your child’s symptoms worse, keeping track of symptoms, and maintaining regular communication with your child’s health care provider and school. […] It’s important to make sure that you learn and understand how to recognize asthma symptoms in your child and when to give medication. Keeping an asthma „action plan” can help prepare you to treat symptoms when they happen.
  • #140 Patient education: Asthma treatment in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/asthma-treatment-in-children-beyond-the-basics
    Successful management of asthma requires monitoring the condition over time. This involves being aware of the frequency and severity of your child’s symptoms as well as anything that seems to trigger them. […] An asthma „action plan” is a form or document that your child’s provider can help you put together; it includes instructions about how to monitor symptoms and what to do when they happen. […] Children with asthma need to see their health care provider regularly. This typically means appointments every one to six months. At these visits, the provider will ask about the severity and frequency of your child’s asthma symptoms or any exacerbations to assess how well their treatment is working. […] The approach to asthma treatment depends on your child’s age and ability as well as the frequency and severity of their symptoms. Asthma is typically categorized as „intermittent” or „persistent.”
  • #141 Clinical: Managing asthma in children | Nursing in Practice
    https://www.nursinginpractice.com/clinical/clinical-managing-asthma-in-children/
    A personalised child asthma action plan allows you to set out clearly what actions should be taken every day, even if the child appears well; when they have increased symptoms after contact with a trigger; and in the event of an attack. […] One of the biggest barriers to living symptom free is poor inhaler technique. […] Children should have their asthma reviewed twice a year, so any change can be recorded and treatment adjusted if necessary. […] Nurses should check that children are using inhalers and spacers correctly, and that they (and their parents) understand what each one does. […] Studies show that although there is a possibility that children will grow up to be shorter, the growth restriction is usually less than 1cm whereas leaving the inflammation untreated raises the risk of life-threatening asthma attacks and long-term lung damage.
  • #142 Diagnosis and management of asthma in children | BMJ Paediatrics Open
    https://bmjpaedsopen.bmj.com/content/6/1/e001277
    Asthma is the most common chronic respiratory condition of childhood worldwide, with around 14% of children and young people affected. […] Effective asthma management involves a holistic approach addressing both pharmacological and non-pharmacological management, as well as education and self-management aspects. […] Education on how to take treatment effectively, trigger avoidance, modifiable risk factors and actions to take during acute attacks via personalised asthma action plans is essential. […] The management of asthma is multifactorial, and to optimise disease control, a number of pharmacological, non-pharmacological and self-management aspects need to be considered. […] Education is key to improving caregiver and child understanding of asthma and its management. […] All young people with asthma should have asthma reviews at least annually.
  • #143 Pediatric Asthma Treatment & Management: Approach Considerations, Components of Asthma Care, Treatment of Status Asthmaticus
    https://emedicine.medscape.com/article/1000997-treatment
    Pharmacologic management includes the use of agents for control and agents for relief. Control agents include inhaled corticosteroids, inhaled cromolyn or nedocromil, long-acting bronchodilators, theophylline, leukotriene modifiers, and more recent strategies such as the use of the anti-immunoglobulin E (IgE) antibody (omalizumab) or IL-5 monoclonal antibodies (mepolizumab, benralizumab), or IL-4 receptor alpha monoclonal antibody (dupilumab). […] For all but the most severely affected patients, the ultimate goal is to prevent symptoms, minimize morbidity from acute episodes, and prevent functional and psychological morbidity to provide a healthy (or near healthy) lifestyle appropriate to the age of child. […] Regular follow-up visits are essential to ensure control and appropriate therapeutic adjustments. In general, patients should be assessed every 1-6 months. At every visit, adherence, environmental control, and comorbid conditions should be checked.
  • #144 Management of Asthma in Children | AAFP
    https://www.aafp.org/pubs/afp/issues/2001/0401/p1341.html
    Environmental control measures include removing carpets from the patient’s bedroom and living areas, weekly washing of bedding and clothing in water hotter than 55 C (130F), the use of specially designed mattress and pillow covers, removing stuffed animals and similar objects that are likely to harbor allergens, keeping pets outdoors and using special furnace filters to remove airborne allergens. […] Poor compliance is a major problem in pediatric asthma management, and several factors play a role in this. […] Asthma is classified into four levels according to its severity: mild intermittent, mild persistent, moderate persistent or severe persistent. Treatment is based on the frequency and severity of exacerbations and the degree of lung function impairment. […] The National Asthma Education and Prevention Program guidelines recommend a stepwise approach to pharmacologic treatment starting with the most aggressive therapy necessary to achieve control, followed by a step down to the minimal therapy that will maintain control.
  • #145 Management of Asthma in Children 5 Years and Under – Hossny E (Updated 2020)
    https://www.worldallergy.org/component/content/article/management-of-asthma-in-children-5-years-and-under-hossny-e-updated-2020?catid=16&Itemid=101
    The goals of asthma management in young children are to achieve good control of symptoms and maintain normal activities, minimize risk of flare-ups, maintain lung functions, and minimize side effects from medications. The Global Initiative for Asthma (GINA) offered a stepwise approach to treatment that is customized to the individual child taking into account the effectiveness of available medications, their safety, and their cost to the payer or family. […] An asthma action plan should enable family members and care givers to recognize asthma worsening or flare-up, initiate treatment, and identify when urgent hospital care is necessary. […] For young children, studies have found adherence rates frequently below 50%. Parents may have difficulty following asthma management recommendations, such as identification and avoidance of triggers and proper use of inhalation devices. As a result, many children experience flares that may significantly alter their quality of life and well being that could otherwise have been avoided. […] Despite current advances in asthma management and the development of evidence-based and evidence-informed guidelines, preschoolers remain inadequately served.
  • #146
    https://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/Caring-for-Children-with-Asthma-During-COVID-19.aspx
    Your child’s asthma action plan can provide more details about when to seek immediate or emergency care. […] Help your child follow their asthma management plan and take their controller medications as prescribed. […] Having an asthma action plan, knowing how to use it, and communicating with your asthma provider can give you more information and confidence to handle your child’s asthma, including asthma attacks.
  • #147 Clinical: Managing asthma in children | Nursing in Practice
    https://www.nursinginpractice.com/clinical/clinical-managing-asthma-in-children/
    A childs asthma affects the whole family. […] Asthma is a variable condition symptoms and triggers may change over time. […] Children can begin to monitor and manage their own asthma from a young age. […] The aim is for them to have: No daytime symptoms. No night-time waking due to asthma. No need for rescue medicines (their blue reliever inhaler). No asthma attacks. For their asthma not to place any limits on their daily life (including school or exercise). […] An up-to-date, personalised written asthma action plan. […] Twice-yearly reviews with a GP or nurse. […] Adhering to prescribed asthma treatments. […] Parents who have been told that their children have suspected asthma often feel frustrated that they cant get a formal diagnosis more quickly. […] Explaining to parents how each of their childs medicines works and regularly checking inhaler technique could help them support children to be adherent.
  • #148 Childhood asthma – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/childhood-asthma/diagnosis-treatment/drc-20351513
    Taking steps to reduce your child’s exposure to asthma triggers will lessen the possibility of asthma attacks. Steps to help avoid triggers vary depending on what triggers your child’s asthma. […] It can be stressful to help your child manage asthma. Keep these tips in mind to make life as easy as possible:
  • #149 Asthma in Children | Children’s Healthcare of Atlanta
    https://www.choa.org/medical-services/asthma
    From knowing the early warning signs to what triggers attacks and the best medication to take, the pediatric-trained team at Childrens is here to help manage your childs asthma. […] It’s important to understand what your childs early warning signs are, what triggers his asthma attacks, the types of medications he should take and how to create an asthma action plan. […] You can help your child maintain a healthy, active lifestyle by learning ways to manage and control his asthma symptoms. […] Although asthma can’t be cured, it can be managed. If not well managed, it can result in emergency department visits and threaten your childs life. […] It’s important to know your childs asthma triggers so you can avoid them when possible. […] We can help you stay in control of your childs asthma. Our asthma team is specially trained to care for kids and teens who have asthma and breathing problems.
  • #150 Management of Asthma in Children | AAFP
    https://www.aafp.org/pubs/afp/issues/2001/0401/p1341.html
    Environmental control measures include removing carpets from the patient’s bedroom and living areas, weekly washing of bedding and clothing in water hotter than 55 C (130F), the use of specially designed mattress and pillow covers, removing stuffed animals and similar objects that are likely to harbor allergens, keeping pets outdoors and using special furnace filters to remove airborne allergens. […] Poor compliance is a major problem in pediatric asthma management, and several factors play a role in this. […] Asthma is classified into four levels according to its severity: mild intermittent, mild persistent, moderate persistent or severe persistent. Treatment is based on the frequency and severity of exacerbations and the degree of lung function impairment. […] The National Asthma Education and Prevention Program guidelines recommend a stepwise approach to pharmacologic treatment starting with the most aggressive therapy necessary to achieve control, followed by a step down to the minimal therapy that will maintain control.
  • #151 For Parents of Children with Asthma | American Lung Association
    https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma/children-and-asthma
    Children benefit from being empowered to manage their own asthma and make healthy choices as soon as they are developmentally ready. […] The rebelliousness and desire for independence that often accompany adolescence can create unique challenges for teens with asthma and their families. […] Smoking and secondhand smoke and vaping and secondhand aerosol can cause sudden and severe asthma flare-ups. […] Removing asthma triggers indoors improves air quality and reduces asthma symptoms in children and adults. Removing asthma triggers has been linked to several good outcomes including improved school attendance and decreased hospitalizations, emergency department visits and reduced frequency of quick-relief medication to relieve symptoms.
  • #152 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/asthma-nursing-care-plans/
    Utilize this comprehensive nursing care plan and management guide to provide effective care for patients with asthma. Gain valuable insights on nursing assessment, interventions, goals, and nursing diagnosis specifically tailored for asthma in this guide. […] Asthma is a common chronic disease affecting approximately 26 million persons in the United States. It is the most common chronic disease in childhood (Morris Mosenifar, 2022). […] Nursing care for patients with asthma varies depending on symptom severity, ranging from outpatient treatment for mild symptoms to hospitalization for acute and severe cases. […] The following are the nursing priorities for patients with asthma: 1. Improving Breathing Pattern Gas Exchange 2. Maintaining Patent Airways Reducing Airway Inflammation 3. Medical Administration and Pharmacologic Support 4. Preventing Exacerbation of Asthma 5. Reducing Anxiety Improving Coping 6. Providing Patient Education Health Teachings.
  • #153 Nursing Care Plan (NCP) for Asthma / Childhood Asthma | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-asthma-childhood-asthma?quiz-view=open
    Develop evidence-based nursing interventions to manage acute asthma episodes, promote medication adherence, and educate children and caregivers on asthma self-management. […] Implement pediatric-focused assessment skills, such as monitoring respiratory status, assessing inhaler technique, and recognizing signs of respiratory distress in children. […] Childhood asthma is a chronic inflammatory disorder of the airways that involves complex interactions between genetic, environmental, and immune factors. […] While the exact cause of asthma is unknown, it is believed to be somewhat hereditary. Certain triggers can cause the worsening of symptoms, known as asthma attacks. […] An asthma action plan helps the parents, school, and daycare providers to understand and control asthma in children.
  • #154 Nursing care plan for pediatric asthma
    https://nursipedia.com/nursing-care-plan-pediatric-asthma/
    Effective coping mechanisms should be taught to the child in order to build up their resilience against their chronic condition and provide them with an effective way of dealing with it. […] To increase the efficiency of airway clearance, deep breathing and coughing exercises can help the child clear their mucous secretions and improve ventilation. […] Proper nutrition helps to maintain the lung mucosa and strengthen the immune system, which are vital in preventing exacerbation of the child’s condition. […] Relaxation techniques can decrease stress and anxiety associated with asthma, which can lead to fewer exacerbations. […] The effectiveness of the care plan can be measured by observing changes in the child’s respiratory status (improvement in oxygen saturation, reduction in wheezing and improved airway patency). Additionally, their nutrition and development in coping mechanisms should also be monitored to evaluate the effectiveness of the care plan. […] In conclusion, the nursing care plan for pediatric asthma is designed to improve the child’s airway clearance, nutrition, and coping skills. With proper management and education of the child, their quality of life and overall health can greatly improve.
  • #155 Nursing care plan for pediatric asthma
    https://nursipedia.com/nursing-care-plan-pediatric-asthma/
    Effective coping mechanisms should be taught to the child in order to build up their resilience against their chronic condition and provide them with an effective way of dealing with it. […] To increase the efficiency of airway clearance, deep breathing and coughing exercises can help the child clear their mucous secretions and improve ventilation. […] Proper nutrition helps to maintain the lung mucosa and strengthen the immune system, which are vital in preventing exacerbation of the child’s condition. […] Relaxation techniques can decrease stress and anxiety associated with asthma, which can lead to fewer exacerbations. […] The effectiveness of the care plan can be measured by observing changes in the child’s respiratory status (improvement in oxygen saturation, reduction in wheezing and improved airway patency). Additionally, their nutrition and development in coping mechanisms should also be monitored to evaluate the effectiveness of the care plan. […] In conclusion, the nursing care plan for pediatric asthma is designed to improve the child’s airway clearance, nutrition, and coping skills. With proper management and education of the child, their quality of life and overall health can greatly improve.
  • #156 Nursing care plan for pediatric asthma
    https://nursipedia.com/nursing-care-plan-pediatric-asthma/
    Effective coping mechanisms should be taught to the child in order to build up their resilience against their chronic condition and provide them with an effective way of dealing with it. […] To increase the efficiency of airway clearance, deep breathing and coughing exercises can help the child clear their mucous secretions and improve ventilation. […] Proper nutrition helps to maintain the lung mucosa and strengthen the immune system, which are vital in preventing exacerbation of the child’s condition. […] Relaxation techniques can decrease stress and anxiety associated with asthma, which can lead to fewer exacerbations. […] The effectiveness of the care plan can be measured by observing changes in the child’s respiratory status (improvement in oxygen saturation, reduction in wheezing and improved airway patency). Additionally, their nutrition and development in coping mechanisms should also be monitored to evaluate the effectiveness of the care plan. […] In conclusion, the nursing care plan for pediatric asthma is designed to improve the child’s airway clearance, nutrition, and coping skills. With proper management and education of the child, their quality of life and overall health can greatly improve.
  • #157 Nursing care plan for pediatric asthma
    https://nursipedia.com/nursing-care-plan-pediatric-asthma/
    Effective coping mechanisms should be taught to the child in order to build up their resilience against their chronic condition and provide them with an effective way of dealing with it. […] To increase the efficiency of airway clearance, deep breathing and coughing exercises can help the child clear their mucous secretions and improve ventilation. […] Proper nutrition helps to maintain the lung mucosa and strengthen the immune system, which are vital in preventing exacerbation of the child’s condition. […] Relaxation techniques can decrease stress and anxiety associated with asthma, which can lead to fewer exacerbations. […] The effectiveness of the care plan can be measured by observing changes in the child’s respiratory status (improvement in oxygen saturation, reduction in wheezing and improved airway patency). Additionally, their nutrition and development in coping mechanisms should also be monitored to evaluate the effectiveness of the care plan. […] In conclusion, the nursing care plan for pediatric asthma is designed to improve the child’s airway clearance, nutrition, and coping skills. With proper management and education of the child, their quality of life and overall health can greatly improve.
  • #158 Nursing care plan for pediatric asthma
    https://nursipedia.com/nursing-care-plan-pediatric-asthma/
    Effective coping mechanisms should be taught to the child in order to build up their resilience against their chronic condition and provide them with an effective way of dealing with it. […] To increase the efficiency of airway clearance, deep breathing and coughing exercises can help the child clear their mucous secretions and improve ventilation. […] Proper nutrition helps to maintain the lung mucosa and strengthen the immune system, which are vital in preventing exacerbation of the child’s condition. […] Relaxation techniques can decrease stress and anxiety associated with asthma, which can lead to fewer exacerbations. […] The effectiveness of the care plan can be measured by observing changes in the child’s respiratory status (improvement in oxygen saturation, reduction in wheezing and improved airway patency). Additionally, their nutrition and development in coping mechanisms should also be monitored to evaluate the effectiveness of the care plan. […] In conclusion, the nursing care plan for pediatric asthma is designed to improve the child’s airway clearance, nutrition, and coping skills. With proper management and education of the child, their quality of life and overall health can greatly improve.