Asthma Clinic – Medication Plan

  • Reference Number: HEY-684/2015
  • Departments: Paediatrics

Introduction

This leaflet has been produced to give you general information about your child’s asthma and asthma treatment. Most of your questions should be answered by this leaflet. However it is not intended to replace the discussion between you and your child’s doctor but may act as a starting point for discussion.   If after reading this leaflet you have any concerns or require further explanation, please discuss this with a member of the healthcare team caring for your child.

What is a medication plan?

A medication plan provides information on how and when your child’s asthma treatment should be given. The medication plan also provides information that would be useful to follow when your child is unwell.

What are the treatments?

There are two groups of inhaled treatments that your child may respond to if they are given a diagnosis of asthma.

These are referred to as:

  • Reliever inhaler
  • Preventer inhaler

Reliever treatment should only be taken in asthma with symptoms such as:

  • Shortness of breath
  • Coughing or wheezing
  • Or before exercise if your child is prone to coughing and wheezing when running around (it is best to take reliever treatment 10 minutes before games etc.)

Preventer treatment:
If a preventer inhaler is started for your child, it should be given every day and only stopped when instructed by your child’s doctor or specialist nurse.

Can there be any complications or risks?

If your child remains unwell at home in spite of having regular inhaled reliever treatment, this may indicate that your child’s condition is deteriorating and you should seek medical help. If your child’s inhaled treatment is not given through a designated delivery device, the inhaled treatment will not be as effective.

If you have any concerns regards any potential side effects of treatment prescribed, you should discuss this with your child’s General Practitioner (GP).

Management plan

Name ___________________________________________________________

DOB ____________________________________________________________

Best Peak flow ____________________________________________________

Date of issue ______________________________________________________

Inhaled Reliever Treatment:

Name of treatment Inhaler Colour Dose How often
Salbutamol Aerosol Blue 2-6 puffs As required

Please use the reliever inhaler as required. If the use of your child’s reliever inhaler is increasing and without an improvement in symptoms i.e. shortness of breath, cough, wheeze and/or reduction in peak flow recording, please seek advice from your child’s doctor or specialist nurse.

Acute asthma attacks

In children, colds are usually responsible for acute attacks. These result in cough, wheeze and breathlessness. If your child has a peak flow meter, you will see a drop in peak flow readings when your child’s asthma control is not as good.

What immediate action should I take?

With increase in symptoms and/or fall in peak flow readings, the reliever inhaler should be given every 2 to 3 hours. If your child’s symptoms and/or peak flow readings improve, no further action is necessary.

What if the symptoms do not settle?

If symptoms do not settle, give reliever treatment as per emergency plan (for example up to 10 doses of the blue inhaler with 30 seconds between).

Emergency treatment box:

Name of treatment Inhaler Colour Dose How often
Salbutamol Aerosol Blue Ten puffs Emergency

If there is not a good response to treatment given, or the treatment eases symptoms for only a short time, you should telephone your child’s doctor straightaway. If your child’s doctor is unavailable to visit immediately, dial 999 for an ambulance or take your child to the Emergency Department at the hospital and continue to give treatment.

Controlling asthma

This section is to be completed by the hospital.

Inhaled Preventer Treatment:

Name of treatment Inhaler Colour Dose How often

Asthma is well controlled if:

  • There is no cough or wheeze at night which disturbs sleep.
  • Participation in activities is normal.
  • There is no significant variation in peak flow recordings.

If your child’s asthma control remains good for several months, it might be appropriate to reduce the amount of preventer medicine. This should be discussed with your child’s doctor, specialist nurse or GP.

What happens afterwards?

Should you require further advice on the issues contained in this leaflet, please do not hesitate to contact the Paediatric Asthma Nurses on tel no: (01482) 607872.

General Advice and Consent

Most of your questions should have been answered by this leaflet, but remember that this is only a starting point for discussion with the healthcare team.

Consent to treatment

Before any doctor, nurse or therapist examines or treats your child, they must seek your consent or permission. In order to make a decision, you need to have information from health professionals about the treatment or investigation which is being offered to your child. You should always ask them more questions if you do not understand or if you want more information.

The information you receive should be about your child’s condition, the alternatives available for your child, and whether it carries risks as well as the benefits. What is important is that your consent is genuine or valid. That means:

  • you must be able to give your consent
  • you must be given enough information to enable you to make a decision
  • you must be acting under your own free will and not under the strong influence of another person

Information about your child

We collect and use your child’s information to provide your child with care and treatment. As part of your child’s care, information about your child will be shared between members of a healthcare team, some of whom you may not meet. Your child’s information may also be used to help train staff, to check the quality of our care, to manage and plan the health service, and to help with research. Wherever possible we use anonymous data.

We may pass on relevant information to other health organisations that provide your child with care. All information is treated as strictly confidential and is not given to anyone who does not need it. If you have any concerns please ask your child’s doctor, or the person caring for your child.

Under the General Data Protection Regulation and the Data Protection Act 2018 we are responsible for maintaining the confidentiality of any information we hold about your child. For further information visit the following page: Confidential Information about You.

If you or your carer needs information about your health and wellbeing and about your care and treatment in a different format, such as large print, braille or audio, due to disability, impairment or sensory loss, please advise a member of staff and this can be arranged.