Cleft lip and Cleft Palate

Management of Child with Cleft lip and Cleft Palate - To know more CLICK HERE

Pediatric Trauma Score

Nursing Management of child with Patent Ductus Arteriosus

Nursing Management of child with Patent Ductus Arteriosus  - to know more details please --CLICK HERE

Atlas of Selected Congenital Anomalies

Atlas of Selected Congenital Anomalies - Published from WHO

To view this CLICK HERE

Vital Statistics of INDIA

Vital Statistics of INDIA as on 2012

Source: Census of India - Sample Registration System

Rheumatic Heart Disease

Rheumatic Fever and Rehumatic Heart disease

to know more about it CLICK HERE

Causes for coma in children

The causes for unconsciousness in children are

Tetralogy of Fallot

Tetralogy of fallot  - to know more about it please CLICK HERE

Asthma action plan - from Pediatric Nursing Journal

Appendix: Asthma Action Plan

SCHOOL ASTHMA ACTION PLAN

CINCINNATI HEALTH DEPARTMENT

SCHOOL AND ADOLESCENT HEALTH PROGRAM

Provider: Please complete the following asthma action plan and fax to: ___________________________________________

Student: _________________________________________________ DOB: _________________________________________

School:   _________________________________________________School Phone __________________________________

CLASSIFICATION	TRIGGERS	PEAK FLOW METER	EXERCISE
Well Controlled  Partially Controlled  Uncontrolled ------------------------------------  Intermittent  Mild Persistent  Moderate Persistent  Severe Persistent	Exercise      Colds  Weather      Dust  Animals       Food  Smoke         Air Pollution  Other	Peak Flow Meter Used?          Yes     No PERSONAL BEST =	Pre-exercise medication needed?  Yes  No Medication: How Much: When: Exercise Modifications if any:

GREEN ZONE: Doing Well                       Take control medications every day if prescribed
Symptoms § Breathing is good § No cough or wheeze § Can play and work § Sleeps all night Peak Flow Meter = (More than 80% of personal best)	Control Medications
	Medicine (circle)                                           Dose (Circle)                         How Much/When                to take
	Advair MDI fluticasone/salmeterol) mcg/spray 45/21 115/21 230/21 Puff(s) Times/day Advair Diskus  (fluticasone/salmeterol)mcg/spray 100/50 250/50 500/50 Puff(s) Times/Day Azmacort (triamcinolone)75 mcg/spray MDI Puff(s) Times/Day Flovent  (fluticasone ) Diskus 50 mcg HFA  44 mcg Puff(s) Times/Day Pulmicort  (budesonide )                 0.25 mg 0.5 mg Puff(s) Times/Day Pulmicort Turbuhaler  (budesonide) 200 mcg 400 mcg Puff(s) Times/Day QVAR  (beclomethasone )   40 mcg 80mcg Puff(s) Times/Day Singulair (monteluklast) tablets 4 mg 5 mg 10 mg QAM QPM Symbicort (budesonide/formoterol ) 80 mcg 160 mcg Puff(s) Times/Day Other:
YELLOW ZONE: Getting Worse         Continue control medications if prescribed and ADD relief medication
Symptoms § Some problems breathing § Cough, wheeze or chest tight § Problems working or playing § Wake up at night due to asthma Peak Flow Meter = § (50% - 80% of personal best)		RELIEF MEDICATION
		Albuterol/Xopenex Inhaler  __________  puffs every __________ hours Xopenex                                1 vial every __________hours
		IF symptoms (and peak flow if used) return to GREEN zone after 1 hour THEN: § Take relief medicine every _____ hours for 1-2 days § Change your control medicine by:	IF symptoms (and peak flow if used) DO NOT return to GREEN zone after 1 hour THEN: § Take relief medication again § Change your control medicine by
		§ Contact physician for follow up care	§ Contact physician within _____hours to modify your medication routine
RED ZONE:  Medical Alert!              Continue control medications if prescribed and INCREASE relief medication
Symptoms § Breathing difficult,  hard or fast § Trouble walking or cannot talk § Getting worse not better § Lips or fingernails blue § Nose opens wide § Ribs show § Medicine is not helping Peak Flow Meter = § (0-50% of personal best)		RELIEF MEDICATION
		Albuterol/Xopenex Inhaler ____ puffs every 20 minutes for a total of _______puffs Xopenex                                        1 vial every 20 minutes for a total of 3 vials      Parent must pick student up from school and take to physician for same day medical evaluation
		Go to the hospital or call 911 if : § Still in the RED zone after 15 minutes § If symptoms are severe and not improved immediately with Albuterol § Lips or fingernails are blue or if having trouble walking or talking § If you cannot reach your doctor for help

MD/NP SIGNATURE ______________________________________________________________DATE_______________

MD/NP NAME___________________________________ADDRESS_____________________________________PHONE_________