Frequently Asked Questions

How can I get my clinic/practice enrolled in the Easy Breathing® program?

Getting on board with Easy Breathing® is simple – call 904.202.5132.

When patients are on two inhalers, quick relief and controller, which one should they be instructed to take first?

Instruct patient to use their quick relief inhaler first. It will dilate their airways and allow the controller inhaler to travel deeper into the airways.

What are the different types of asthma?

  • Allergic asthma — triggered by allergens such as pollen, mold, and animal dander
  • Exercise-induced asthma (also called EIB) — triggered by exercise
  • Cough-variant asthma — a dry, non-productive cough, but no wheezing
  • Occupational asthma — triggered by asthma triggers in the workplace
  • Nocturnal asthma — with symptoms that occur in the wee hours of the morning

When should wheezing be diagnosed as asthma in infants?

If wheezing occurs > than 3 times in a year and is associated with the following risk factors a diagnosed of atopic dermatitis or eczema

- or -

Two of the following asthma-associated phenotypes: peripheral blood eosinosphilia, wheezing without a cold, or diagnosis of allergic rhinitis:

  • other wheezing conditions are excluded
  • child responds to anti-asthma therapy

When should a patient be prescribed a controller medication?

Patients who have daytime symptoms that are not related only to exercise more than two times per week and/or nocturnal symptoms more than two times per month should be assessed for persistent asthma. All patients diagnosed with persistent asthma should be placed on two medications: quick-relief for quick relief of symptoms and a controller to be taken daily for long-term control of symptoms.

Which patients should receive a written Asthma Action Plan?

Every patient with asthma should receive a written Asthma Action Plan. It is imperative that all patients with persistent asthma receive a written plan. An extra copy should also be kept at the school or child care center to instruct caregivers on how to respond when asthma flares up or in an emergency.

Which patients should be prescribed an aerochamber with a mask?

Any patient who cannot hold their breath for 5 to 10 seconds or has difficulty using a holding chamber with a mouthpiece will benefit from a chamber with a mask. All patients who use MDI’s will benefit from a chamber with either a mouthpiece or mask. Holding chambers improve medication delivery by making it easier to hold the MDI in place, allows the patient to inhale the medication more slowly and deeply, lessens the bad taste of the medicine, and may reduce possible bad effects of the medicine.

Are MDIs with aerochambers as effective at delivering medication as using a nebulizer?

An MDI with aerochamber is just as effective as a nebulizer if used properly and takes much less time.

How do I set Peak Flow Zones for my patients?

There are a couple of ways this can be done:

Most peak flows come with an instruction sheet and a monogram that allows you to set zones for the patient based on their height, age, and sex. This process for setting zones does not factor in variability of asthma.

Therefore, the most accurate way to set Peak Flow Zones is called The Personal Best. Patients should measure their peak flow by standing up and taking in a deep breath and blowing as hard as possible into their peak flow meter each morning and evening. Three attempts should be made at each peak flow session, and the sessions should occur approximately 12 hours apart. The best reading should be recorded each morning and each evening on a diary over a two-week period when the patient is SYMPTOM FREE.

Your patient should bring the diary back at each check-up so that you can asses the patient’s personal best (highest peak flow during the two week period, disregarding any extreme outliers). The  Green Zone will be 80% or above of the personal best; the Yellow Zone will be 50 to 79% of the personal best; and the Red Zone will be below 50%.

Example: Personal best = 400, so Green Zone = 320-400; Yellow Zone = 200-320; Red Zone = below 200

How does Leukotriene Inhibitors work (Singulair, Accolate)?

They prevent asthma symptoms by blocking a substance that is produced by the body in response to certain “triggers” that causes narrowing of airways in the lungs. It is important to understand that these medicines are controller medicines and they will not provide quick relief during a flare up of asthma.

Why is it important for patients to rinse their mouth and spit after using a steroid inhaler?

It helps patients avoid experiencing sore throat, hoarsness and cough, all of which can be caused by thrush, a side effect sometimes caused by inhaled steroids. It is also important for parents to clean the medicine off the their children’s faces if inhaled steroids are delivered with an nebulized mask or chamber and mask. Many people find it helpful to use their inhaled steroid prior to brushing their teeth in the morning and/or at night. This routine helps them to establish better compliance by adding their medication use to an already well-established habit and takes care of their rinsing too.

What is the Community Asthma Partnership at Wolfson and how is it addressing the problem?

Founded in 1992, the Community Asthma Partnership (CAP) began as a grassroots, vounteer-driven nonprofit service organization with the goal of improving the lives of those suffering from asthma through community outreach. The program had a particular focus on children and the medically underserved in our community.

In January 2007, CAP merged with Wolfson Children’s Hospital under the banner of the Community Asthma Partnership at Wolfson Children’s Hospital (CAPW) to expand the scope of all services as well as to add new services. The program aims to build awareness of asthma in our community, diagnose asthma earlier, manage asthma better, and reduce asthma-related hospitalization and deaths.

What does the Community Asthma Partnership at Wolfson provide?

CAPW is dedicated to addressing the unmet asthma needs within the Jacksonville community.

The programs and services offered are designed to:

  • Increase awareness of asthma
  • Offer education and better access to care
  • Enhance the quality of asthma care

CAPW is here to help you.

For more information, call us any weekday from 8:30 a.m. to 4:30 p.m. at 904.202.5132 or send us an email or get updates