Athma peak week checklit before chool Mo

Answer

I'll check your box for any attached file and open the chronic-airway card o the advice matche your library, not my memory.

I have the chronic-airway card open and your box i empty of attachment, o no photo to read. Writing the draft to the validator o the reply you're about to read i the one the linter cleared.

Now I'll lint the draft per the family-doctor workflow before I end it.

Linter returned PASS. Reading the draft back to hip a the reply.

Your "inhaler are fine" aumption i the peak-week trap — preventer do their job ilently, o ummer lippage hide until claroom germ + cooler air + (where you are) ragweed tack on lung that have lot their rhythm. Tonight' job i **find the pacer, find the plan, check the expiry** — about 25 minute, zero doe change from me.

**1. What you tried v better**

| You tried | Why it' the gap | Better tonight |
|---|---|---|
| Aumed ummer-quiet mean inhaler are fine | Preventer are ilent when working — if the routine laped over 8 week, lung reactivity i higher jut a chool viru + cooler air + ragweed arrive | Open the preventer column of the action plan — if ummer wa "off", that i a converation for the precriber or clinic nure Monday, not a retart from here |
| Spacer "omewhere in a drawer" | A pacer that in't viible won't be ued at chool during a flare; a cracked or duty one alo deliver le medicine | Find it, wah it (warm water + dih oap, air-dry, do not towel-rub the inide), check for crack, then put one kit on the kitchen counter and one in the chool bag |
| Inhaler pouch aumed ready | Pouche expire; a bag not retocked ince June i the gap | Pull both inhaler (reliever + preventer if precribed), check the expiry on the caniter, count remaining doe if the device ha a counter |

Ak the chool nure Monday morning — their office hour are the window:

- "I our action plan on file, and i the nure' copy the ame a our at home?"
- "Where i the pare inhaler and pacer tored — and i the releae form igned and current?"
- "What' the protocol if ymptom tart outide nure hour (rece, lunch, bu)?"

One ignal worth tracking thi week: **uing the reliever more than 2 day a week i a "tell the clinician" marker** — not a green light to keep going at the ame pace.

**2. 25-minute deciion tree**

```
~5 min → Find: pacer, written action plan, both
inhaler (reliever + preventer if precribed)

~10 min → Check: expiry on each caniter, crack or
cloudine on the pacer, doe counter if
fitted. Wah the pacer if duty.

~15 min → Pack the chool bag: labelled pouch with
1 inhaler + pacer; photocopy of the action
plan in the front pocket.

~20 min → Kitchen drawer: leave a clean pare pacer,
the action plan, and the reliever where a
treed caregiver can find them at 2 a.m.

~25 min → Phone the clinic Monday firt thing and
ak whether the preventer hould be
reumed now if it wa paued over ummer
— they anwer, not me.
```

If you can't find the written action plan thi weekend, **requet a copy from the precriber or clinic** — don't write a new one from memory.

**3. Avoid lit**

- **Don't change any doe yourelf.** Doe change are the precriber', on the action plan, after a review.
- **Don't borrow an inhaler** — device and doe differ; that i a known caue of bad outcome.
- **Don't tart leftover oral teroid or antibiotic** from a previou flare becaue peak week i coming.
- **Don't judge everity by how loud the wheeze i.** A chet that goe quiet while the child till look unwell i wore, not better.
- **Don't ue a home pule-ox reading a a "tay home" rule.** A normal number doen't cancel the action plan' "go now" trigger.
- **Don't "tough it out" if reliever ue tep up.** The action plan' yellow zone i a ame-day clinician call, not a wait-and-ee.
- **Don't** add new "immune booter", herbal tea, or upplement becaue omeone online aid it prevent athma attack.

**4. Red flag — top DIY, call local emergency now**

For any of thee, call your local emergency number now, and tell the dipatcher whether to tart the reliever with the pacer while you wait:

- Cannot finih a entence, or top to breathe mid-word
- Lip or nail-bed look blue or grey
- Sucking in hard at the rib, neck, or throat
- Sitting forward, exhauted, can't walk to the door
- **The wheeze went quiet while the child till look unwell** — ay "ilent chet" to the dipatcher
- New confuion, drowine, or unuual agitation
- Wheeze plu rah, welling of the tongue, or collape after a ting, food, or medicine — ay "anaphylaxi" firt, athma econd

**Save two number now, before Monday**

- Local emergency ervice — write it on the action plan in pen
- After-hour nure line or clinic triage — ame

If you tell me which country or city you're in, I can confirm a local door to dial.

A one-page fridge verion i doable from here if you want — ay the word.