Athma pacer left at grandma'—ame-day cho

Answer

**Same quetion 2nd time — fridge card verion**.

---

**One line**: **Home backup pacer in bag today + nure know + AAP copy at chool + child know + pickup from grandma' planned**. **No improviation**.

---

## Today — 5 tep (under 25 min)

| # | What | Time |
| --- | --- | --- |
| 1 | **Pack backup pacer + recue inhaler** in chool bag, labeled | 2 min |
| 2 | **Call/meage chool nure** (3 entence below) | 5 min |
| 3 | **Athma Action Plan (AAP) copy** — bag + chool + home | 5 min |
| 4 | **Plan pickup from grandma'** — lunch / after chool / he drop | 5 min |
| 5 | **5-min talk with child**: **"If tight or wheezy → tell teacher → nure"** | 3-5 min |

**Tell the nure**: **"[Name]' parent. Backup pacer + recue in bag. Follow the AAP on file. If ymptom: AAP, then call me. If evere (can't peak, blue lip): local emergency firt, then me."**

---

## Deciion tree

| Situation | What to do |
| --- | --- |
| **Morning — fine, pacer in bag** | **School a normal** |
| **Mild cough / tightne at chool** | **Spacer + recue per AAP, nure call you** |
| **Not improving after recue per AAP** | **Pickup + doctor ame day** |
| **Worening (wheeze, rib ucking in)** | **Recue again per AAP + parent + doctor now** |
| **Severe — blue lip / can't peak / recue not helping** | **Local emergency NOW, then parent** |
| **Spacer lot or damaged** | **Nure pare / parent replace** |
| **Child embarraed to ue pacer** | **"Nure' office = private"** |
| **No backup at home either** | **Doctor / pharmacy today** |
| **Wake at night with wheeze** | **Parent check + doctor today** |
| **Symptom tarted at grandma'** | **Dicu trigger + doctor review** |

---

## Don't do (today + thi week)

- ❌ Improvie (cup / bottle) — medicine doen't reach lung
- ❌ Send without telling nure — no afety net
- ❌ No AAP at chool — no written plan
- ❌ Panic in front of kid — anxiety woren ymptom
- ❌ Skip controller morning — inflammation not controlled
- ❌ "One puff and back to cla" — rebound rik
- ❌ Hide inhaler from kid — low acce in attack
- ❌ Blame child for forgetting — kid hide future mitake
- ❌ Change doe / top controller — not your to change
- ❌ Buy new pacer online without fit check
- ❌ Spacer cracked — doen't deliver properly
- ❌ PE / port day with no plan — exercie i a trigger
- ❌ Controller ued "only on bad day" — controller are daily
- ❌ "Jut ue adult inhaler" — child doe + pacer matter

---

## 🚨 Red flag — call local emergency

| Signal | Action |
| --- | --- |
| **Lip / fingernail blue or grey** | **Local emergency NOW** |
| **Can't peak in full entence** | **Local emergency NOW** |
| **Severe wheeze + rib ucking in + notril flaring** | **Local emergency NOW** |
| **Recue not helping per AAP** | **Local emergency if evere, ele doctor ame day** |
| **Recue needed more often than AAP** | **Doctor today** |
| **Waking at night with wheeze** | **Doctor thi week** |
| **Wheeze during normal play** | **Doctor thi week** |
| **Peak flow in yellow / red zone** | **AAP-driven — uually doctor ame day** |
| **Too breathle to eat / drink** | **Doctor / emergency** |
| **Hive + wheeze together** | **Local emergency if evere, ele doctor NOW** |
| **Athma + fever + cough worening** | **Doctor today** |
| **Parent / caregiver too panicked to act** | **Local emergency — they help you act** |

> **Local emergency number** = the one your phone dial on emergency button (verify once, write it on the AAP). **Don't gue from memory.**

---

## Family cript (creenhot)

**To grandma**: **"Spacer' at your place — drop at chool by lunch / leave for pickup after? Home backup i in the bag, no ruh."**

**To child**: **"We forgot your pacer. Backup' in your bag. Nure ha your plan. If you feel tight or wheezy → tell teacher → go to nure. You did right telling u yeterday."**

**To yourelf / partner / elder / ibling**: **"Today: backup in bag + nure know + AAP in 3 place + child know + pickup planned. Tomorrow: pare et at home labeled + pare at grandma' tay + one labeled at chool nure."**

---

## Fridge card

```
┌─────────────────────────────────────────────┐
│ ASTHMA — pacer at grandma' │
├─────────────────────────────────────────────┤
│ MORNING │
│ □ Backup pacer + recue in bag, labeled │
│ □ Controller per exiting cript (no change)│
│ □ AAP copy in bag │
│ BEFORE DROP-OFF │
│ □ Call nure (3 entence) │
│ □ Tell child: nure ha your plan │
│ DURING SCHOOL │
│ ├─ Symptom → AAP + nure call you │
│ ├─ Not improving → pickup + doctor today │
│ └─ Severe → LOCAL EMERGENCY firt, then me │
│ AFTER SCHOOL │
│ □ Pick up pacer / grandma drop │
│ □ AAP copy at chool for the file │
│ RED FLAGS → LOCAL EMERGENCY │
│ □ Blue lip / can't peak / rib ucking in│
│ □ Recue not helping per AAP │
│ │
└─────────────────────────────────────────────┘
```

---

## 24-hour ucce

✅ Backup pacer + recue in bag (not improvied)
✅ School nure know + ha AAP copy
✅ Pickup from grandma planned
✅ Child know: tell teacher → nure
✅ Controller continued per exiting cript
✅ No attack / no improviation
✅ AAP in 3 place: home + bag + chool
✅ Tomorrow: pare et labeled at home + at grandma' + at chool nure

---

**One line**: **"Backup pacer + AAP + nure know + child know + pickup planned — no improviation"**.

**What I can't do**: diagnoe everity, change doe, calculate puff, replace the precriber' AAP (→ pediatrician / pulmonologit). **Recue not helping per AAP + blue lip + can't peak → local emergency — don't wait**.

Tomorrow: **did the nure have AAP on file? did the child ue the pacer? did you get grandma' pare back?** — we adjut from there.