Discharge Planning ASTHMA
Discharge Planning ASTHMA
Discharge Planning ASTHMA
Medications Give adequate instruction about the importance of So that the patient’s condition
following medication and dietary regimens. can remain stable as long as
possible.
Medications for Maintenance:
1. Salbutamol 4 mg, TID, Inhalation
2. Prednisone 40 mg, OD, PO - To relieve and relax the
3. Ciclesonide 160 mcg, BID, PO muscles that tighten around the
airways
- Used to treat severe airway
inflammation (swelling) and
mucus
- Control asthma symptoms and
prevent asthma from flaring.
Treat airway inflammation and
mucus
Exercise
Exercise as your provider recommends. Some people To reduce inflammation
have coughing or wheezing only during or after physical Effective deep breathing and
activity. This is called exercise-induced asthma. Even coughing will help clear and
though exercise may trigger an asthma attack, exercise is maintain a patent airway and
still important. Some ways to prevent an asthma attack prevent airway collapse
during exercise include: Decrease asthma symptoms by
Start with a long, slow warm-up to the activity. improving lung endurance
It may be necessary to use a rescue inhaler before To improve lung capacity
you start exercise. Improves conditioning of the
heart, improving blood flow and
Always have a rescue inhaler with you during the delivery of oxygen.
exercise.
Promote rest and pursed lip breathing exercise.
Do active range of motion with slow progressions in
frequency and provide assistance if needed.
Physical activity on most days of the week for at
least 30 minutes such as: brisk walking, dancing,
swimming, and volleyball.
Health Teachings 1. Provide patient and relative written and
verbal information regarding the following:
2. Monitor Asthma regularly - To check for symptoms
3. Seek medical advice from health care - For immediate treatment.
provider in case of complication.
4. Encourage strict medication compliance and - To attain therapeutic effects.
to take medications as directed.
5. Compliance to follow-up examinations. - For monitoring and avoidance of
6. Learn what things trigger your symptoms and complications.
how to stay away from them. Triggers may - To prevent serious complications
be perfumes, smoke, pollen, or other things. wherein the length of time that
Preventing contact with triggers can help these treatments are necessary.
prevent asthma attacks. - To improve cardiac activity.
7. Avoid secondhand smoke. Smoke can
worsen asthma symptoms.
8. Avoid exposure to chemicals, such as the - To have enough rest
chemicals used in the manufacturing
industry, farming, and hairdressing.
Outpatient Follow-up 2 weeks after discharge for the doctor to For health status monitoring
Follow-up know
Advise parents to seek further medical attention
(preferably from their GP) should the child's
condition deteriorate or if there is no significant
improvement within 48 hours
Diet If acid indigestion is making asthma symptoms To avoid increased airway
worse: irritation
Acid reflux that causes heartburn
Lose weight if you need to may damage lung airways and
Maintain a healthy weight. worsen asthma symptoms.