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CAUSING AREA SCHOOL DISTRICT ASTHMA MALADMINISTRATION AUTHORIZATION FORM TO BE COMPLETED BY PARENT/GUARDIAN: Students Name DOB Address: Phone Emergency Phone Number Grade By signing below, I understand
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How to fill out asthma selfadministration

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How to fill out asthma selfadministration:

01
Start by ensuring you have all the necessary materials. These may include an inhaler, a spacer device (if recommended by your healthcare provider), and a written asthma action plan.
02
Familiarize yourself with the instructions provided with your specific inhaler. Different inhalers may have different administration techniques, so it's important to follow the manufacturer's guidelines.
03
Before using the inhaler, shake it gently to ensure that the medication is properly mixed.
04
Remove the cap from the inhaler and, if using a spacer device, attach it to the inhaler according to the instructions provided.
05
Take a slow, deep breath and exhale completely to help open up your airways.
06
Hold the inhaler or spacer in a horizontal position and place it in your mouth, ensuring a tight seal around the mouthpiece with your lips.
07
Press down once on the inhaler canister or activate the inhaler as directed to release the medication. If using a spacer, depress the inhaler canister once and then take a slow, deep breath in and hold for a few seconds.
08
Remove the inhaler or spacer from your mouth and exhale gently.
09
If a second puff is required, wait for the recommended amount of time (usually 30 seconds to 1 minute) between puffs.
10
Repeat the process, if necessary, for additional doses as prescribed by your healthcare provider.
11
After each use, rinse your mouth with water and spit it out to reduce the risk of oral thrush or other side effects.
12
Finally, replace the cap on the inhaler and store it in a cool, dry place.

Who needs asthma selfadministration?

01
Individuals diagnosed with asthma who require medications to control their symptoms may need to utilize asthma selfadministration techniques.
02
This can include both adults and children who have been prescribed asthma medications by their healthcare provider.
03
Asthma selfadministration is particularly important for those who experience frequent asthma attacks or have a history of severe symptoms that require immediate intervention.
04
It is also crucial for individuals who participate in physical activities or sports, as exercising can sometimes trigger or worsen asthma symptoms.
05
Ultimately, anyone with asthma who has been prescribed inhalers or asthma medication should receive proper education on selfadministration techniques to effectively manage their condition.
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Asthma selfadministration is a process where individuals with asthma are trained to manage and administer their own medication in case of an asthma attack.
Individuals with asthma, especially students in schools, are required to file asthma selfadministration forms with their healthcare providers and school administrators.
To fill out asthma selfadministration, individuals must consult with their healthcare provider to create a plan for managing their asthma symptoms, including medication doses and usage instructions.
The purpose of asthma selfadministration is to ensure that individuals with asthma have access to their medication and are prepared to manage their symptoms in case of an asthma attack, especially in a school setting.
Information such as medication names, doses, usage instructions, emergency contacts, and healthcare provider information must be reported on asthma selfadministration forms.
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