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    Paediatric Wheeze Discharge Plan v3

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    dinushith30

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    © All Rights Reserved
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    Paediatric Wheeze Discharge Plan v3

    Uploaded by

    dinushith30
    6 views3 pages

    Original Title

    paediatric-wheeze-discharge-plan-v3

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    6 views3 pages

    Paediatric Wheeze Discharge Plan v3

    Uploaded by

    dinushith30

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    12.

    20v03

    Paediatric Asthma
    Paediatric Wheeze/Asthma
    Discharge Plan
    Discharge Plan

    Name:
    This is your weaning regime for the next few days
    Please make an appointment to see your GP 48 hours after your discharge.
    You may have been given Prednisolone, take this as prescribed
    If your child takes a preventer inhaler (usually brown, orange or purple) continue this
    twice a day even when well.
    (Ensure good dental hygiene is maintained while on steroid inhalers)

    How much of your blue inhaler to give for the next few days:

    DAY No of puffs of salbutamol Times per day INCLUDING


    (blue inhaler) AT NIGHT TIME & DURING
    SCHOOL etc.
    One 10 puffs Every 4 hours
    Maximum 6 doses in 24
    hours
    Two 8 puffs Every 6 hours
    Maximum 4 doses in 24
    hours
    Three 6 puffs Every 6 hours
    Maximum 4 doses in 24
    hours
    Four 4 puffs Every 8 hours
    Maximum 3 doses in 24
    hours
    Five 2 puffs As required
    Normally morning and
    evening
    Normal dose of treatment when your child is well: (Day six onwards, if unwell see GP)
    Amendments to
    Inhaler Medicine No of Puffs/Dose Times per day medication e.g.:
    New/Old /Dose
    Changes/Stopped
    Reliever Up to 10 puffs As required
    Preventer Morning & Evening
    (strength)
    Medication and inhaler technique reviewed by:
    Name ____________________ Signature __________________ Date _____________
    12.20v03

    Wheeze Discharge management plan

    DANGER
    Asthma Discharge
    Your child’s condition is getting worse if:
    You need emergency
     Your blue inhaler is not helping help please phone 999
    Management Plan
     Your breathing is hard and fast or go straight to the
     You can’t talk or walk properly nearest Accident and
     You are getting tired Emergency Dept.
    ANGER
    If your
    Your child isisusing
    asthma getting more
    worseof their
    fast if: blue You need to see your
     Your
    reliever inhaler than
    blue inhaler stated
    is not helpingin the discharge G.P/Urgent care/Walk in
     Your breathing is hard and fast centre/call your asthma or
    management plan and you are concerned
    rapid response nurse TODAY
    5 787
    Your child is using the management plan but you You need to see a doctor today.
    have concerns, they may be having some time off Please ring your G.P.
    school or be unable to take part in normal levels of surgery/Health Visitor or
    activity community Nurse or attend the
    walk in centre

    What to do in an emergency
    1. Take 2 puffs of your reliever inhaler (usually blue)
    2. Sit up and loosen tight clothing
    3. If no improvement ,continue to take one puff/dose of reliever inhaler every minute for five
    minutes or until symptoms improve
    4. If your symptoms do not improve in five minutes – or if you are in doubt – call 999 or go to the
    nearest A & E department
    5. Continue to take one puff of your reliever inhaler every minute until help arrives
    After an emergency you should call your G.P. surgery and ask for an urgent appointment (even if you
    feel better) Do not ignore worsening condition - Get medical help immediately. Day or Night

    GIVING YOUR INHALER


    1 2 Steps 1-3 needs to be followed for each
    puff e.g. if asked to give 2 puffs; repeat the
    whole process twice.
    https://www.asthma.org.uk/advice/inhaler-
    videos/facemask-child/

    You may be given different coloured


    inhalers or chambers. The process is the
    Shake your inhaler Attach your inhaler as shown
    same for all colours. Below are some
    examples of different coloured inhalers.
    Place your child in an up-right
    and comfortable position.
    Place the mask securely over
    their mouth and nose. Press
    12.20v03

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