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Summary: Discharge/Home Care Plan for Childhood Asthma
Children's Medical Center, University of Virginia
Your child's Physician or Nurse practitioner is:
_________________________________________.
He/She can be reached at ___________________________________________(If he/she is unavailable, please leave a message)
If He/She is unavailable, call _____________________________________________________________________.
Eliminate from your child's environment the following triggers that make his/her asthma worse:
House Dust Mites Indoor air pollution (especially cigarette smoke, perfumes,
cover mattress with plastic cover cooking smoke)
wash all bedding in hot water 130 degrees every 1-2 weeks American Lung Association Smoking Cessation
clean hot air heat system Program: Phone (212)315-8700
Cockroaches Cats or rodents Other
DO NOT USE INHALER OR NEBULIZER MORE OFTEN THAN ONCE EVERY FOUR (4) HOURS (unless more frequent treatments are
specifically recommended by your doctor). Call the physician or nurse practitioner if you feel more frequent medications is required.
Your child's asthma is: Mild intermittent Mild persistent Moderate Severe
ROUTINE MANAGEMENT
Your child's asthma medication regimen is:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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