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Asthma IP Discharge Checklist

Asthma IP Discharge Checklist - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Respiratory, Related


Asthma – Pediatric/Adult - Discharge Check List
Inpatient to Home
Note: This checklist does not replace individual clinical judgement and/or consideration for patient tolerance of
specific medications or therapies.
Discharge Criteria
Patients who meet the following criteria may be discharged:
ξ On room air
ξ Receiving albuterol treatments (Q4 hours with no increasing frequency)
 Print the Asthma Action Plan in Health Link
(GINA Evidence B- patients 6 years or older; GINA Evidence D- patients 5 years or younger)
ξ For pediatric patients, print two color copies (home and school).
ξ Consider stepping up the Green Zone maintenance therapy for 4-6 weeks after discharge.
 Prescribe a total of 5-7 days of oral corticosteroids, inclusive of doses given during admission
(pediatric patients: 1-2 mg/kg once daily or divided BID with max dose 60 mg/day)
 Schedule Follow-up Appointment (within 2-7 days of discharge) (GINA Evidence B)
ξ UW Health recommends scheduling an appointment with the PCP within 2-7 days.
ξ An appointment with the Allergy or Pulmonary Clinic may be made within 2-3 weeks (if
indicated).
 Provide Patient Education (GINA Evidence B) which includes:
ξ Basics of asthma pathophysiology
ξ Triggers and signs and symptoms (i.e., environmental triggers)
ξ Rescue vs. controller medications
ξ Review what to do in an emergency (i.e., yellow and red zones)
ξ Inhaler technique (i.e., mask and spacer)
ξ PEF meter technique (if used)
ξ Review Asthma Action Plan with patient and family.
Last revised/reviewed: 07/2015 | Contact CCKM for revisions.
UW Health Asthma – Pediatric/Adult – Inpatient/Ambulatory Guideline
References:
1. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2015. Available from
www.ginasthma.org.
2. Program NAEaP. Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma-Summary
Report 2007. J Allergy Clin Immunol. 2007;120(5 Suppl):S94-138.
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 07/2015CCKM@uwhealth.org