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Asthma
Awareness &
Management in the
workplace
Presenter: Elaine Peet
Asthma Management Course
Health (Drugs and Poisons) ...
At end of workshop, you will be
able to…
 Understand the need for blue reliever
medication to a person having an asthma
a...
Contents
 What is asthma?
 General asthma
symptoms
 Signs of worsening
asthma
 Asthma medications
 Why use a spacer
...
Asthma in Australia
 1 in 9 children (0 – 15 years)
– Most common reason for
presenting to emergency
 1 in 10 adults
 1...
Where does asthma occur?
nose
throat
wind pipe
airways
air sacs
diaphragm
Brought to you by
What is asthma?
 People with asthma have trouble getting air in
and out of their lungs
 The airways in the lungs become ...
Airways
 Normal airway or
asthma well
managed
– pink
– open
– muscles relax
Brought to you by
Airways during asthma
 The lining of the
airway becomes red,
swollen and sensitive
and may produce
extra mucus
 The musc...
General asthma symptoms
 Cough – the body’s
attempt to open up and
clear the narrowed
airways
 Wheeze – the whistling
so...
Worsening asthma:
what you may see
Mild worsening Moderate worsening Severe worsening
No problem speaking Speaking in shor...
Other signs of worsening asthma
 Needing blue reliever more than 3 x a week
 Symptoms more than 3 x a week
 Blue reliev...
Exercise induced asthma
 Trigger for 80% of people with asthma
 Can occur during and/or after exercise
 More likely if ...
Exercise induced asthma:
How do you know?
“Do you feel more breathless, tight in chest
or wheezy 5 to 10 mins after you st...
Asthma medications
Preventer
USE DAILY
Use to stop redness,
swelling, sensitivity and
extra mucus
Reliever
USE WHEN NEEDED...
Medication - short acting
relievers
 Use in Asthma First Aid
 Blue/grey colour
 Relieves symptoms within 4 minutes
 Ca...
Using a blue reliever to prevent
exercise induced asthma
Before exercise:
– Warm up effectively
– Use blue reliever at lea...
Using a blue reliever to manage
exercise induced asthma
During exercise, if symptoms occur:
– Stop activity and take blue ...
Medications: Preventers
 Not for Asthma First
Aid
 Reduce frequency and
severity of attacks
 Taken regularly every
day ...
Medication:
Longer Acting Relievers
Not for Asthma First Aid
Relaxes airways for 12 hrs
 Takes up to 30 mins to work
N...
Medication: Combination
 Not for Asthma First Aid
 Combined preventer and longer
acting reliever
 Dries up mucus, reduc...
Delivery devices
Puffer and spacer
with a facemask
Puffer and spacer
Brought to you by
What is a spacer?
 A clear plastic tube
 Stores puffed medication, allowing it to be
breathed in
Brought to you by
Why use a spacer?
 Results in up to 40% of medication reaching
lungs (compared to 10% with puffer alone)
 Reduces side e...
Why use a spacer?
Using spacer and puffer
40% reaches lungs
Using puffer alone
10% reaches lungs
Brought to you by
Which spacer for whom?
Infant – 4/5 years of age
 use a small volume spacer
 use a facemask with the spacer.
Children ab...
How to use a puffer and
spacer
1. Assemble spacer, if required
2. Remove the cap from the puffer
3. Hold puffer upright an...
Cleaning a spacer
 Clean after each use
 Dismantle spacer and wash in detergent and hot water
 Do not rinse or wipe dry...
Recognising and assessing an
asthma attack
Mild Attack
– Cough
– Soft wheeze
– Minor trouble breathing
– No problem speaki...
To manage an asthma attack…
time is critical
Either:
 Follow the person’s Asthma Action Plan (if readily
available)
Or
 ...
Asthma First Aid
Brought to you by
Asthma First Aid Step 1
 Sit the adult or child down
 Remain calm
 Provide reassurance
 Do not leave the person
alone
...
Asthma First Aid Step 2
 Give 4 puffs of a blue reliever
 One puff at a time through a
spacer
 Ask the adult or child t...
Asthma First Aid Step 3
 Wait 4 minutes.
Brought to you by
Asthma First Aid Step 4
 If there is little or no
improvement, repeat steps 2
and 3.
 If there is still little or no
imp...
Asthma First Aid
1
2
3
4
Brought to you by
Health (drugs and poisons) Regulation
1996 – Queensland Health
 Amended September 2008:
“To the extent necessary to perfo...
Health (drugs and poisons)
Regulation 1996
To purchase salbutamol or terbutaline:
 Must have completed Asthma First Aid W...
What you can now do…
 Recognize an asthma attack and if needed
assist in giving blue reliever medication
 Help to keep y...
The Asthma Foundation of
Queensland
Services include:
 Nationally accredited courses for health professionals
 Free mont...
011-25464531, 011-41425180, 011-66217387
+91-9818308353,+91-9818569476
othermotherindia@gmail.com
www.other-mother.in
http...
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  1. 1. Asthma Awareness & Management in the workplace Presenter: Elaine Peet Asthma Management Course Health (Drugs and Poisons) Legislation 1996 Amended 2008 Brought to you by
  2. 2. At end of workshop, you will be able to…  Understand the need for blue reliever medication to a person having an asthma attack, within your current work setting.  Have knowledge of the Asthma Friendly Workplace Guidelines. Brought to you by
  3. 3. Contents  What is asthma?  General asthma symptoms  Signs of worsening asthma  Asthma medications  Why use a spacer  Recognising and assessing an asthma attack  Managing an asthma attack  Exercise induced asthma  Relevant Queensland legislation Brought to you by
  4. 4. Asthma in Australia  1 in 9 children (0 – 15 years) – Most common reason for presenting to emergency  1 in 10 adults  1 in 10 over 65 years of age – Most deaths from asthma occur in people over 65 years of age 10% 11% Brought to you by
  5. 5. Where does asthma occur? nose throat wind pipe airways air sacs diaphragm Brought to you by
  6. 6. What is asthma?  People with asthma have trouble getting air in and out of their lungs  The airways in the lungs become narrow, making it difficult to breathe Normal airway or when asthma is well managed The lining of the airways becomes red, swollen and sensitive The muscles around the airways tighten Brought to you by
  7. 7. Airways  Normal airway or asthma well managed – pink – open – muscles relax Brought to you by
  8. 8. Airways during asthma  The lining of the airway becomes red, swollen and sensitive and may produce extra mucus  The muscles around the airway tighten Brought to you by
  9. 9. General asthma symptoms  Cough – the body’s attempt to open up and clear the narrowed airways  Wheeze – the whistling sound made as the air is pushed out through narrowed airways  Shortness of breath – difficulty moving air in and out of the narrowed airways  Chest tightness – the feeling when the muscles have tightened round the airways Brought to you by
  10. 10. Worsening asthma: what you may see Mild worsening Moderate worsening Severe worsening No problem speaking Speaking in short sentences only Only able to say few words in one breath Soft wheeze Loud wheeze Very stressed and anxious, pale, sweaty Minor trouble breathing Clear difficulty breathing Gasping for breath Cough Persistent cough May have blue lips Brought to you by
  11. 11. Other signs of worsening asthma  Needing blue reliever more than 3 x a week  Symptoms more than 3 x a week  Blue reliever not working as well as usual or lasting as long  Waking overnight or in morning with symptoms  Reduced ability to do usual activities Brought to you by
  12. 12. Exercise induced asthma  Trigger for 80% of people with asthma  Can occur during and/or after exercise  More likely if unwell or asthma is poorly controlled Brought to you by
  13. 13. Exercise induced asthma: How do you know? “Do you feel more breathless, tight in chest or wheezy 5 to 10 mins after you stop exercising than during exercise?” Brought to you by
  14. 14. Asthma medications Preventer USE DAILY Use to stop redness, swelling, sensitivity and extra mucus Reliever USE WHEN NEEDED Use to relax muscle around the airways Brought to you by
  15. 15. Medication - short acting relievers  Use in Asthma First Aid  Blue/grey colour  Relieves symptoms within 4 minutes  Can be used before exercise  Safe and non-addictive  Ventolin, Airomir, Asmol, Bricanyl  Side effects – shaky hands, racing heart  Store medication below 30 degrees celsius Brought to you by
  16. 16. Using a blue reliever to prevent exercise induced asthma Before exercise: – Warm up effectively – Use blue reliever at least 5 minutes before exercise – Do not exercise if unwell with asthma After exercise: - Cool down effectively - Monitor for signs of worsening asthma Brought to you by
  17. 17. Using a blue reliever to manage exercise induced asthma During exercise, if symptoms occur: – Stop activity and take blue reliever medication – Return to activity only when symptoms subside – If symptoms recur, take blue reliever medication. – Do NOT return to activity Brought to you by
  18. 18. Medications: Preventers  Not for Asthma First Aid  Reduce frequency and severity of attacks  Taken regularly every day at home  Various types and colours Brought to you by
  19. 19. Medication: Longer Acting Relievers Not for Asthma First Aid Relaxes airways for 12 hrs  Takes up to 30 mins to work Not to be used without a preventer Serevent, Oxis Brought to you by
  20. 20. Medication: Combination  Not for Asthma First Aid  Combined preventer and longer acting reliever  Dries up mucus, reduces swelling and relaxes muscles  Taken regularly every day at home  Seretide, Symbicort Brought to you by
  21. 21. Delivery devices Puffer and spacer with a facemask Puffer and spacer Brought to you by
  22. 22. What is a spacer?  A clear plastic tube  Stores puffed medication, allowing it to be breathed in Brought to you by
  23. 23. Why use a spacer?  Results in up to 40% of medication reaching lungs (compared to 10% with puffer alone)  Reduces side effects  Easier to use AFQ recommends all puffer medications are delivered via a spacer. Brought to you by
  24. 24. Why use a spacer? Using spacer and puffer 40% reaches lungs Using puffer alone 10% reaches lungs Brought to you by
  25. 25. Which spacer for whom? Infant – 4/5 years of age  use a small volume spacer  use a facemask with the spacer. Children above 4/5 years of age  may use a large volume spacer Brought to you by
  26. 26. How to use a puffer and spacer 1. Assemble spacer, if required 2. Remove the cap from the puffer 3. Hold puffer upright and shake well 4. Put the puffer mouthpiece into the end of the spacer 5. Tilt chin up and breathe out 6. Place the mouthpiece into your mouth and make a good seal with your lips. If using a spacer with a facemask, make a good seal over mouth and nose 7. Fire one puff of the puffer into the spacer 8. Breathe in and out for 4 breaths, maintaining seal 9. For additional puffs, repeat steps 3 - 8 Brought to you by
  27. 27. Cleaning a spacer  Clean after each use  Dismantle spacer and wash in detergent and hot water  Do not rinse or wipe dry – allow to air dry  When dry, wipe mouth piece with 70% alcohol swab  Discard and replace spacer if contaminated with blood  Ensure spacer is dry before returning to first aid kit  Do not store in a plastic bag Brought to you by
  28. 28. Recognising and assessing an asthma attack Mild Attack – Cough – Soft wheeze – Minor trouble breathing – No problem speaking in sentences Severe Attack – (Dial 000 for an ambulance) – Very stressed and anxious – Gasping for breath Moderate Attack – Persistent cough – Loud wheeze – Clear difficulty breathing – Able to speak in short sentences only – Unable to speak more than a few words in one breath – Pale and sweaty – May have blue lips Brought to you by
  29. 29. To manage an asthma attack… time is critical Either:  Follow the person’s Asthma Action Plan (if readily available) Or  Follow the nationally recognised 4 step Asthma First Aid procedure Brought to you by
  30. 30. Asthma First Aid Brought to you by
  31. 31. Asthma First Aid Step 1  Sit the adult or child down  Remain calm  Provide reassurance  Do not leave the person alone Brought to you by
  32. 32. Asthma First Aid Step 2  Give 4 puffs of a blue reliever  One puff at a time through a spacer  Ask the adult or child to take 4 breaths from the spacer after each puff Brought to you by
  33. 33. Asthma First Aid Step 3  Wait 4 minutes. Brought to you by
  34. 34. Asthma First Aid Step 4  If there is little or no improvement, repeat steps 2 and 3.  If there is still little or no improvement, call an ambulance immediately.  Continue to repeat steps 2 and 3 while waiting for the ambulance. Brought to you by
  35. 35. Asthma First Aid 1 2 3 4 Brought to you by
  36. 36. Health (drugs and poisons) Regulation 1996 – Queensland Health  Amended September 2008: “To the extent necessary to perform first aid at a workplace or community event, a person who has completed an asthma management course approved by the chief executive is authorised to administer S3 salbutamol or S3 terbutaline.” – In this section – community event includes a sporting or recreational event. Brought to you by
  37. 37. Health (drugs and poisons) Regulation 1996 To purchase salbutamol or terbutaline:  Must have completed Asthma First Aid Workshop (as approved by Queensland Government)  Must have certificate or document that is available for viewing at time of purchasing reliever medication Brought to you by
  38. 38. What you can now do…  Recognize an asthma attack and if needed assist in giving blue reliever medication  Help to keep your workplace Asthma Friendly  Understand the need to have Asthma First Aid available in the workplace Brought to you by
  39. 39. The Asthma Foundation of Queensland Services include:  Nationally accredited courses for health professionals  Free monthly community asthma workshops  Community asthma education programs  Research grants  Support and information Asthma Info Line 1800 645 130 Website: www.asthmaqld.org.au Brought to you by
  40. 40. 011-25464531, 011-41425180, 011-66217387 +91-9818308353,+91-9818569476 othermotherindia@gmail.com www.other-mother.in https://www.facebook.com/pages/Other-Mother-Nursing-Crusade/224235031114989?ref=hl http://www.linkedin.com/profile/view?id=326103341&trk=nav_responsive_tab_profile https://twitter.com/othermotherindi https://cparveen.wix.com/other-mother A WORLDWIDE MISSITION Contact Us:- JOIN US

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