Dr Warren Hyer

Dr Warren Hyer

MB ChB MRCP MRCPCH

Consultant Paediatrician

October 6, 2007

Asthma Action Plan

Below are instructions regarding your child’s management. Your programme may include the use of inhaled steroids (brown or orange inhaler) –Work hard on the technique – slow deep breaths only, one puff at a time.

PREVENTER TREATMENT:

Your child is on regular inhaled steroids: No preventer neededbeclomethasone 50mcgbeclomethasone 100mcgbeclomethasone 200mcgfluticasone 25mcgfluticasone 50mcgfluticasone 125mcgQVAR 50QVAR 100budesonide 50budesonide 200seretide 125seretide 50seretide 250montelukast 4mgmontelukast 5mgmontelukast 10mg not applicable1 puff once a day2 puffs once day4 puffs once day1 puff twice daily2 puffs twice daily4 puffs twice daily

If you have been prescribed a preventer - you should use it every day.
If you have a spacer – you must use it for your preventer.
If you use an inhaled steroid (eg. Flixotide, Becotide, Pulmicort) - you should rinse you mouth out after using it.

IF YOU GET SYMPTOMS OF ASTHMA(wheezing, chest tightness, shortness of breath):
please give salbutamol 100mcgterbutaline 250mcg 2 puffs4 puffs6 puffs8 puffs10 puffs every 2-4 hours1 hour2 hours4 hourspre excercise

Use your spacer. Repeat doses as often as you need to. Don't stop taking your preventer. If you need Ventolin more often than every 3 hours, then see your doctor or go to hospital.

If your child becomes acutely breathless, please give salbutamol 100mcgbricanyl 250mcg up to 6 puffs10 puffs and then seek medical advice or call NHS direct.

WHEN TO SEEK HELP FROM THE DOCTOR/HOSPITAL

• If you have a bad attack or are worried
• If you need Ventolin more than every 3 hours
• If you get little or no relief from Ventolin
• Wheezing lasts more than 24 hours and is not getting better
• If you have a very severe attack: call your doctor, or come to the hospital & take up to 10 puffs of Ventolin (salbutomol) every 15 to 30 minutes

Work hard on the technique – slow deep breaths only, one puff at a time.All inhaled medicines must be given through your spacer device: aerochamber yellowaerochamber orangevolumatic with maskvolumatic without maskaerochamber blue

Keep this plan readily available at all times. Please take this plan and all medications to all doctors visits. Give copies to others who are involved in the care of the patient (eg. grandparents, creche, kinder, school)
If you use a spacer, wash it in soapy water at least once a month and let it drip dry.