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Pediatric Asthma Assessment for
Emergent/Urgent Care
Height
Time (HH:mm)Sample Date (yyyyMondd)
Weight
STROLLER Scoring (see table on Side B)
PRE TX
Signs
Scoring
Substernal in drawing
0 or 2
Scalene
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How to fill out pediatric asthma assessment for
How to fill out pediatric asthma assessment for
01
Begin by gathering relevant information about the child's medical history, including any previous asthma diagnosis, medications used, and hospitalizations or emergency room visits related to asthma.
02
Fill out the personal information section of the assessment form, including the child's name, date of birth, and contact information.
03
Provide details about the child's asthma symptoms, such as the frequency and severity of coughing, wheezing, shortness of breath, and chest tightness.
04
Include information about any triggers or factors that worsen the child's asthma symptoms, such as exposure to allergens, exercise, cold air, or respiratory infections.
05
Indicate the child's current medications for asthma management, including both preventer and reliever medications. Include the dosage, frequency, and any side effects experienced.
06
Document the child's recent peak flow meter readings, if applicable. This helps assess the child's lung function and the effectiveness of asthma management.
07
Include any additional relevant information, such as asthma action plans, allergy information, or other medical conditions the child may have.
08
Review the completed assessment form for accuracy and completeness before submitting it to the appropriate healthcare provider or clinic.
Who needs pediatric asthma assessment for?
01
Pediatric asthma assessment is necessary for children who have a suspected or confirmed diagnosis of asthma.
02
It is recommended for children who frequently experience symptoms like coughing, wheezing, shortness of breath, or chest tightness.
03
Children who have a history of hospitalizations or emergency room visits due to asthma should also undergo pediatric asthma assessment.
04
Additionally, children with a family history of asthma or allergies may benefit from asthma assessment to monitor and manage their symptoms effectively.
05
Healthcare providers, pediatricians, allergists, and respiratory specialists often administer pediatric asthma assessments for appropriate diagnosis and treatment planning.
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What is pediatric asthma assessment for?
Pediatric asthma assessment is used to evaluate and monitor the breathing condition of children with asthma.
Who is required to file pediatric asthma assessment for?
Healthcare providers, pediatricians, and parents of children with asthma are required to file pediatric asthma assessment forms.
How to fill out pediatric asthma assessment for?
Pediatric asthma assessment forms can be filled out by documenting the child's symptoms, triggers, medications, and frequency of attacks.
What is the purpose of pediatric asthma assessment for?
The purpose of pediatric asthma assessment is to track the progress of the child's asthma treatment, identify triggers, and adjust medication accordingly.
What information must be reported on pediatric asthma assessment for?
Information such as the child's symptoms, triggers, medications, and frequency of attacks must be reported on pediatric asthma assessment forms.
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