Childcare｜CHCECE002 #7 - Contribute to the ongoing management of asthma

學習筆記 Childcare

CHCECE002

Ensure the health and safety of children

#7 - Contribute to the ongoing management of asthma

來源：いらすとや

．identify signs, symptoms and triggers of asthma

．identify children who have an asthma management plan and follow that plan

．follow organisational policies and legislative requirements in relation to medication for asthma

# What is Asthma?

．NQS 2.2.2

Having a clear plan for the management and communication of incidents and emergencies assists educators to handle these calmly and effectively, reducing the risk of further harm or damage

．asthma → affect airways (the tubes carry air in and out of the lungs)

              → make it hard for affected person to breathe

．reasons why airways become narrow

        > inflammation (swell up) of inside lining of airways

        > excess sticky mucus fluid block the airways

        > bronchoconstriction (tightening of muscles) around airway

．triggers

        >  genetic factors

        > obesity, unhealthy diet

        > smoking, expose to cigaratte smoke

        > air pollution, chemicals, smells

        > expose to allergens 

# Symptoms of Asthma

．mild / moderate asthma 

        > wheezing when breathing out

        > persistent irritable cough (esp at night)

        > coughing / wheezing (when exercising)

．severe asthma attack (need to call ambulance)

        > wheeze that is often quiet

        > sucking in of the throat and rib muscles

        > pale, sweaty

        > possible blue lips

        > very distressed, anxious

        > severe speaking difficulties

        > SOB (shortness of breath), difficulty in breathing

        > tightness & heaviness in chest

# Medications for Asthma

．medication： bronchodilators, corticosteroids

．puffers

        → relievers (end an acute attack)： 

                    only used as needed to relax lung muscle and airway walls

        → preventers (prevent attack)： 

                    take regularly prevent inflammation, swelling, mucus production

．spacer： clear plastic tube → allow more time to breath the medication into lungs

．blue reliever puffer

        1. sit upright

        2. exhale completely, then put puffer into mouth

        3. give one puff, hold the breath for 4s, and then take 4 breaths

        4. repeat step 2 + step 3 three more times

        5. inhale slowly & steadily

        6. wait 4 mins, no improvement → give another 4 puffs

        7. still no improvement → call ambulance, give another 4 puffs

        8. be prepared for CPR

．when using spacer： 

        > use 1 puff at a time

        > take 4 breaths after each of the 4 puffs

        > shake the puffer between puffs

        > inhale slowly and steadily

# During exercise

．administer blue reliever 5 mins before warming up

．ensure cool down

．focus on breathing

．have reliever available in case of problems

# At the service

．wear medical alert bracelet / necklace or other item

．have emergency action plan in place & up to date

．every staff knew and read the plan, have training

．ensure asthma first aid kit complete and every staffs knew where to find

．securely store all medications