How to Use Triage for Asthma

Asthma sufferers often grapple with the decision to go to a doctor, emergency room or just wait it out with their medication when faced with an episode or attack. Nurses or doctors can often calm the fears, answer questions and determine if a medical visit is necessary by doing a proper triage of asthma patients which includes asking specific questions and basing their answers off of them to determine proper care. The follow article assumes that a medical professional will be asking the questions but can also be used a guideline for laymen.

Things You'll Need

  • Paper
  • Pencil or pen
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Instructions

    • 1

      Ask the patient if he or she has been diagnosed with asthma.

    • 2

      Ask the patient if they are taking any prescription or over the counter (OTC) medicine for their asthma and write the names down on a piece of paper.

    • 3

      Obtain information on how the medication is taken. It is by inhaler, spacer, nebulizer or pills? Write this down.

    • 4

      Ask if a peak flow meter is used. If yes, ask what the baseline reading is, and if unsure, what color the arrow has reached - green, yellow or red. Write this down.

    • 5

      Perform a symptom analysis. Ask the patient if there is: persistent wheezing even after medication is taken, difficulty breathing or unable to breathe while laying down, blue lips, weakness, or a peak flow meter reading of below 50%. If yes, tell them to seek emergency care immediately or to call an ambulance if their breathing difficulty is too severe.

    • 6

      Tell patients who are experiencing vomiting, some shortness of breath and/or a peak flow meter reading of between 50 - 80% to seek medicial care in two - four hours if symptoms persist.

    • 7

      Request and reassure patients who are experiencing fever, an unresponsive to medicine cough, yellow or green phglem, or a peak flow meter reading above 80% to seek medical care in twenty-four hours if symptoms persist.

    • 8

      Properly document symptoms, advice given and or care provided.

Tips & Warnings

  • Follow documentation procedure for your specific work place if you are a medical professional - proper documentation is not only vital to the medical personnel but also to the patient as well.

  • If any of the symptoms in step six are present, stop immediately with the rest of the steps and seek emergency medical consultation!

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References

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