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asthma

Well Child Care            Cardiology               Bilirubin            Asthma   
 
Asthma Score:
 

Asthma Score Revised

 

Characteristic

0

1

2

Respiratory Rate1

 

 

 

1 -3 years

≤ 34

35 – 39

≥ 40

4 – 5 years

≤ 30

31 – 35

≥ 36

6 – 12 years

≤ 26

27 – 30

≥ 31

> 12 years

≤ 23

24 – 27

≥ 28

O2 Requirement2

> 93% on RA

89 – 93% on RA

≤ 88% on RA

Auscultation

Normal BS

Expiratory Wheezes

Insp and Exp Wheezes to Diminished BS

Retractions3

≤ 1 accessory muscle

2 accessory muscles

≥ 3 accessory muscles

Dyspnea

Speaks full sentences, playful, and po’s well

Speaks partial sentences, short cry, or po’s poorly

Speaks short phrases, grunting, or unable to po

 

1Respiratory rate must be obtained over a 30-second time period and then multiplied by 2.

2O2 Requirement must be obtained after the patient has been on room air for 2 minutes.

3Accessory muscle use includes the following:

1)       Nasal flaring

2)       Supra-sternal muscle group use

3)       Intra-costal muscle group use

4)       Sub-sternal muscle group use

Weaning Guidelines: 

Wean from cont. nebs  à q2 if score ≤ 4

Wean from q2 à q4 if score ≤ 1

Discharge if score on q4 ≤ 1

If asthma score ≥5 and patient is on q2 nebs, increase to continuous nebs

If asthma score ≥2 and patient is on q4 nebs, increase to q2 nebs

 

Asthma Action Plan:
See Attachments below for English & Spanish AAP's.
Ċ
David Ezon,
Jul 15, 2010, 8:19 PM
Ċ
David Ezon,
Jul 15, 2010, 8:20 PM
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