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Health ServicesSELF ADMINISTRATION MEDICATION FORM (For Asthma, Diabetes, Seizures and Severe Allergies requiring a)Parent/Guardian and Student Form Student Name Teacher/Grade TO BE COMPLETED BY PARENTS/STUDENT
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How to fill out self-administration of asthma medication

How to fill out self-administration of asthma medication
01
Start by reading the instructions provided with your asthma medication.
02
Ensure that you have a clean and dry area to work in.
03
Check the expiry date on the medication and make sure it is still valid.
04
Shake the medication canister or inhaler well before use.
05
Remove the cap from the inhaler and check that the mouthpiece is clean.
06
If using a spacer, attach it to the inhaler.
07
Take a deep breath and fully exhale to empty your lungs as much as possible.
08
Place the mouthpiece between your teeth and close your lips tightly around it.
09
Press down on the canister to release a dose of medication while breathing in slowly and deeply.
10
Hold your breath for about 10 seconds to allow the medication to reach deep into your lungs.
11
If another dose is needed, wait for at least 1 minute before repeating the steps.
12
Once finished, replace the cap on the inhaler and clean the mouthpiece if necessary.
Who needs self-administration of asthma medication?
01
Self-administration of asthma medication is needed by individuals who have been diagnosed with asthma or have a history of asthma symptoms.
02
It is especially important for people who experience frequent asthma attacks or have been prescribed a rescue inhaler for immediate relief.
03
Those who have been trained by healthcare professionals on how to properly use the medication can benefit from self-administration.
04
Self-administration allows individuals to quickly and effectively manage their asthma symptoms, providing them with more control over their condition.
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What is self-administration of asthma medication?
Self-administration of asthma medication is the practice of individuals managing and taking their asthma medication on their own.
Who is required to file self-administration of asthma medication?
The individuals who are required to file self-administration of asthma medication are usually students in schools or employees in workplace settings.
How to fill out self-administration of asthma medication?
To fill out self-administration of asthma medication, individuals need to follow the specific guidelines and forms provided by their school or workplace.
What is the purpose of self-administration of asthma medication?
The purpose of self-administration of asthma medication is to ensure that individuals have quick and easy access to their asthma medication in case of an emergency.
What information must be reported on self-administration of asthma medication?
The information that must be reported on self-administration of asthma medication typically includes the type of medication, dosage, frequency of use, and any potential side effects.
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