asthma patient information · all you need to know about how to care for your spacer is outlined in...
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Feb 2018/EM//GM/RESP
BreathingnormallyNowheezeCantalkfullsentencesFeelyournormalself
NORMAL
BreathingalittlefastMildwheezeSpeakingfullsentencesCaneatanddrinknormally
MILD
BreathingisdifficultModeratewheezeShortsentencesorwordsTooshortofbreathtoeat/drinkTiredandagitated
MORESERIOUS
Noneedfortreatment
Checkyourselfagainin4hours,orsoonerifyoufeelunwell.Usethesamesignsabove
2puffsoftheblueinhalerthroughthespacerdevice,repeatedasnecessary
Checkyourselfagainin2hours,orsoonerifyoufeelunwell.Usethesamesignsabove
2-4puffsofblueinhalerthroughthespacerdevice.Repeatedasnecssary.
ComebacktotheEDorseeyourfamilydoctorCheckDANGERSIGNS
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ASTHMA PATIENT INFORMATION
DANGERSIGNS-Callanambulance&cometotheEmergencyDepartmentDANGERSIGNS-Callanambulance&cometotheEmergencyDepartmentIfyou:Ifyou:
• arebreathingfastorlaboured• looseconsciousness• donotrespondnormally• aretootiredtobreathenormally• canonlyspeakafewwordsatatime
• areagitatedandnotabletocalmdown• aretoobreathlesstospeakfullsentences• donotgetanyrelieffromusingyourinhaler• areneedingyourinhalermorethanevery2hrs
DIAL111foranAMBULANCEGive10puffsoftheblueinhalerevery20minutesasneeded,untiltheambulancearrives
DIAL111foranAMBULANCEGive10puffsoftheblueinhalerevery20minutesasneeded,untiltheambulancearrives
Important:MakesurethatyourfamilyknowsthedangersignsIfyougetintroubletheyneedtoknowhowtoringanambulance
WHATTODOWHENYOUGETHOME
Inthenexthours/days:usethesignsbelowtodecidehowbadyourasthmais,thenfollowtheinstructionsbelowtheboxwhereyouthinkyouare.
Whentogotothefamilydoctor:ItisimportantthatyouseeyourGPforareviewwithinthenextweekevenifyoudogetbetter.ItwillbeachanceforyoutotalkwithyourGPaboutyourlongtermasthmamanagementAsyourbreathingimprovesyouwillneedyourinhalerlessandless.
Whentoseeyourfamilydoctorsooner:Ifyouarestillwheezytwodaysafterleavingthehospital
Ifyouhavebeenneedingtheblueinhalerevery4hoursormoreoftenfortwoconsecutivedaysIfyoursleepisdisturbedbecauseofyourAsthma
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Feb 2018/EM//GM/RESP
ASTHMA
Asthmaisachronicillness.Thepatientgetsrecurrentattacksofbreathlessness(shortnessofbreath)andwheezing.Somepatientshavemildsymptoms,othercanbesevereofevenlifethreatening..
WhathappensduringanAsthmaattack?
Theairwaywallswells,themusclesintheairwaywalltighten,andthereisanincreaseinmucousintheairway.
Wheezingisamusicalwhistlingsoundwithbreathing,usuallyasyoubreatheout.Itcomesfromthechest–notthenoseorthroat.
INHALERS
Relievers:Yourblueinhalerisareliever.Itisusedduringawheezyepisode.Itworksbyrelaxingtightenedairwaymuscles.Thishelpstoreducewheezeandrelievebreathingdifficulty.(IfyouhaveaSymbicortSMARTturbuhaler,youcanusethisasarelieverwhenwheezy)
Preventers:Theseworkbyreducingtheswellingintheairwaywall.Thatmeanstheycanhelppreventwheezyepisodesfromhappening.Theyneedtobetakenregularlytobeeffective.
Therearemanydifferenttypes/coloursofinhalers.Whenyouaretakingapreveter,youmightalsobeprescribedareliver,butifyouaretakingsymbicortSMART,youwillhaveonlyoneinhaler.
WhatisSymbicortSMART:YourdoctororClinicalNurseSpecialistwilldecideifSymbicortSMARTisforyou.ThisisamedicationthatcontainsBOTHthepreventerandrelieverinoneinhaler.Itisapreventer,thatyoucanalsousewhenyouhaveawheezyepisode.
Thatmeansthetreatmentissimpler,butitisonlyrightforcertainpatients.Pleasemakesurethatyoureadthepackageinsertcompletely.Ifyouneedit,youcantakeupto6extradosesperday.Ifyoufeelthatyouneedmorethanthat-itisasignthatyouneedtoseeadoctorimmediately.
Foravideoonhowtousetheinhalerhttps://www.youtube.com/watch?v=Qpe7TLMswOIhttps://www.nationalasthma.org.au/living-with-asthma/how-to-videos/using-your-turbuhaler
SPACERSTheMDItypeofinhalersarebestusedwithaspacer.Thespacerhelpsthedrugsgetdeepdownintothelungswheretheycanwork.Youdonotneedtouseaspacewithaturbohaleroraccuhaler.
Usingyourspacer
• Situpright.Shaketheinhaler• Placetheinhalerinthespacerdevice• Placethespacermouthpieceinyourmouthandsealyourlipsaroundit• Pressontheinhaleroncetodeliverthedose• Take5deepbreaths.Makesurethatthevalveshutterswitheachbreath• Removetheinhalerfromthespacerandshakeitinbetweeneachdose
REMEMBER:Foreachpuffordoseyoumusttake5fullbreaths
Howtocareforyourspacer
Allyouneedtoknowabouthowtocareforyourspacerisoutlinedintheinformationsheetinthespacerbox.Makesureyoureaditcarefully.Ifyoudonotlookafteryourspacerthedrugsintherelieverpuffermightnotgettothelungswhereitneedstowork
Where to get more informationWhere to get more information• Your family doctor or after hours medical centre• Health line 0800 611 116
• http://asthmafoundation.org.nz/wp-content/uploads/2012/03/AsthmaSelfManagementPlan08_final.pdf
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