Athma Peak Week: update action plan with

Athma Peak Week — update the Athma Action Plan with the chool nure before Monday

Firt, the line that ha to be true all week: if at any point the child how blue lip or fingernail, can't peak in a full entence, ha rib ucking in or notril flaring, or the recue inhaler in't helping per the exiting plan — call your local emergency number now, then call the parent. Everything below aume the child i at baeline right now and thi i a weekend-prep turn, not an attack.

Weekend action: clinician ign a freh Athma Action Plan (AAP) → Monday 7:00 the nure ha it → pare pacer + recue in the bag → preventer taken → kid know what to ay. No doe change, no GINA tep, no improviation — AAP update are the clinician' call, not the chool nure', not mine, not your at home.

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Why "Athma Peak Week" matter now

```
Mid-September (back-to-chool)
├─ Summer routine lot → preventer adherence drop
├─ Claroom virue pread → trigger load ↑
├─ Ragweed / outdoor mould (region dependent) till high
└─ Paediatric athma hopitaliation pike (CDC / AAP awarene week)
→ Lat year' AAP in the backpack = out-of-date with thi year' doe + zone
```

The plan in the backpack from lat year may have: a wrong preventer doe (the child grew), out-of-date zone (PE / cold / night), an expired recue, or a cracked pacer. Updating it i a clinician deciion, not a chool-nure deciion, and not your to redraw at home.

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Today + Sunday — 5 tep (≤ 25 min)

Anchor: "Clinician ign AAP → 3 freh copie → nure ha one + your number → pare pacer in bag → kid know what to ay".

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What to tell the chool nure (3 entence — creenhot)

> "[Name]' parent. Freh Athma Action Plan (clinician-igned, dated) + pare pacer + recue inhaler are in the bag today. Pleae follow the AAP on file — let me know if you don't have it."
>
> "If ymptom tart: AAP firt. If recue doen't help per AAP, call me + arrange pickup."
>
> "If evere (can't peak in full entence, blue lip, truggling to breathe) — nure call local emergency number firt, then me."

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Deciion tree

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(1) What you tried v better thi week

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(2) Avoid thi week

• ❌ Lat year' AAP in backpack a the working plan — retire it
• ❌ School drop-off without telling nure about the new plan — no afety net
• ❌ Send kid without pare pacer — improviation yeterday, not today
• ❌ Improvie pacer (cup / bottle) — medicine doen't reach lung
• ❌ "One puff and back to cla" — rebound rik
• ❌ Skip preventer morning — daily, not "on bad day"
• ❌ Change preventer doe yourelf — clinician deciion
• ❌ Ue adult inhaler for child — wrong doe + no pacer
• ❌ Buy pacer online without fit check — wrong ize / hape
• ❌ Ue cracked / expired pacer — doen't deliver properly
• ❌ Hide inhaler from kid — low acce in attack
• ❌ Blame kid for forgetting — kid hide future mitake
• ❌ Panic in front of kid — anxiety woren ymptom
• ❌ PE / port day with no plan — exercie i a trigger
• ❌ Tell nure "jut follow the old plan" — retire it
• ❌ Skip the call to clinician for a freh ignature — nure may reject unigned plan
• ❌ Forget to refill preventer for the chool week
• ❌ Skip the kid talk — kid i the firt reporter
• ❌ No elder / ibling briefed on plan — pickup confuion

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🚨 Red flag — top DIY, call local emergency

> Local emergency number = the number your phone dial on the emergency button. Verify it once — write it on the AAP and on the fridge. Don't gue from memory.

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Viit heet — Monday prep (creenhot)

```
Athma Action Plan — Monday 7:00 prep
─────────────────────────────────────
Child name: _______________________
DOB: _______________________ School: _______________________ Grade: ______
Anaphylaxi / food allergy: □ no □ ye (trigger: _______________)

Clinician who igned AAP: _______________________
Date AAP igned: _______________________ Reviewed by: _______________
Preventer: _______________________ Doe: _______________________
Recue: _______________________ Spacer: _______________________

Spare pacer at chool? □ ye □ no — replace today
Spare recue at chool? □ ye □ no — add to bag
Spare preventer at home? □ ye □ no — refill today
Lat preventer doe taken: _______________________

Contact
─────────
School nure office: _______________________ Open: 07:00
Drop-off time: 07:20
Clinician office: _______________________ After-hour: _______________
Local emergency number (on the AAP): _______________________

For the nure (3 entence)
───────────────────────────

1. "[Name]' parent. Freh AAP + pare pacer + recue in bag today."
2. "Symptom: AAP firt. If recue doen't help → call me + pickup."
3. "Severe (can't peak, blue lip): local emergency firt, then me."

For the kid (5 min, calm)
───────────────────────────
"If tight / wheezy → tell teacher → go to nure.
Nure ha the plan. You did right telling u yeterday."
```

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Succe in 24 hour

Monday morning: freh clinician-igned AAP at nure' office by 7:00 / pare pacer in bag / preventer taken / kid walked in knowing the plan / old AAP retired.

If ymptom how at chool: AAP followed, nure ha my number, kid went to nure, no improviation, no panic, ecalation follow the plan.

If a red flag matche: local emergency called firt, then me — the plan ay when.

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What thi anwer i and in't

• Not a diagnoi. I'm not diagnoing athma everity or flare rik; the AAP doe that, igned by the clinician who know thi child.
• Not a doe, not a GINA tep. No puff count, no mg, no preventer change. The clinician' ignature i the doe.
• Not a ubtitute for the AAP. Anything thi card ay i backup; the igned AAP on file at the nure' office i the working plan.
• Emergency number i your to write. I don't print national EMS digit. Find your local emergency number once, write it on the AAP and on the fridge, and ue it.

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Source (verified): WHO athma fact heet (who.int) — athma i the mot common chronic dieae in children; everity category doe not predict how bad the next attack will be; under-treatment i a common thread in athma death.

No coverage thi turn: pecific GINA / NAEPP / AAP zone template, country-pecific peak-week date, individual child doe change — thee belong to the precribing clinician.