Asthma Education: Family & Community Medicine - FCMD 613
Asthma Education: Family & Community Medicine - FCMD 613
Asthma Education: Family & Community Medicine - FCMD 613
FCMD 613
Asthma Education
Done by:
Waleed Alsarhani
- Earn your five points:
1) Greet the parent/caregiver.
2) Introduce yourself.
3) Insure privacy.
4) Get the patient's name and age.
5) Explain the reason of the interview and gain consent
What is Asthma?
Asthma is a chronic respiratory disease induced by allergy with
o Reversible airway narrowing
o Airway inflammation
Symptoms
o Shortness of breath
o Wheezing
o Cough
o Chest tightness
Management
Avoid triggers
o Pollen/pets
o House dust mite
o Exercise
o Cold air
o Perfumes
o Smoking
o Dust
Medications
o Relievers
Inhaled Sulbutamol (Ventolin)
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Taken as required
Side effects: Tremors, palpitations and agitation
No risk of addiction
o Controllers
Inhaled Steroids
Used every day to prevent and minimize the symptoms
Side effects: Sore throat, hoarseness and oral thrush (hence rinse mouth
after use)
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Wait for 30 seconds until giving the next dose.
Wipe mouthpiece and cover it.
Finally, rinse your mouth (Only for inhaled corticosteroids to prevent oral thrush)
Technique
o Check the expiration date.
o Remove the inhaler cap.
o Shake the inhaler and insert it into the end of the spacer.
o Position the spacer in the childs mouth with the lips forming a tight seal.
o Press down on the inhaler.
o Ask the child to take a slow deep breath for 10 seconds
o Wait for 30 seconds between doses.
o Wait at least for 10 minutes when using two or more types of inhalers.
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o Finally, clean the mouth of the child with wet cotton. (Only for
inhaled steroids)
Special Notes
Before explaining the inhalation technique tell the patient why the medication is
used and what its effect.
Explain about machine and its parts.
Tell patients about spacer and its benefits.
If using 2 types, use dilator first.
Dont forget to demonstrate and observe.
Encourage patients to ask questions
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Arrange for follow up
References:
OSCE-aid.com
Respiratory Block Patient Doctor Hand Book
OSCEstop.com
WV Asthma Education and Prevention Program
Osce-skills
Patient.co.uk
Asthma Society of Canada
WebMD
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