Come and see us at our new premises Issue Highlights
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1. Recently had two referrals for children who had ended up in the A amp Ein the early hours of the morning Neither child was using their spacer properly The first child a 7 year old girl had a preventer which was used now and then if the asthma was bad and had a reliever which was used a lot Dad was giving the medication through her Spacer but was giving only one puff in total He was unaware that when asthma symptoms were present he needed to give 6 puffs of reliever medication to open the airways The one puff every hour gave no improvement his daughter kept everyone aw ake during the night and finally they had to dash to the A amp E Everyone was very stressed Dad phoned the Asthma Centre for help During my visit checked their spacer technique explained about giving more than one puff of reliever per episode although itis only one puff at a time allowing 6 breaths between puffs and the importance of using the daily preventer Six weeks later checked back and everyone is doing well The second child a 12 year old boy had a preventer was using it daily but did not have a spacer He came from overseas where Spacers were not in common usage He did have a nebuliser which was used often He had a bad turn one nightso Mum nebulised him then took off for the A amp E I strongly suggested he get a spacer and take his preventer through it If he was taking the time to take his medication he may as well do it properly also ex2. Slow Cooker Instructions For best results follow steps 1 3 and place all ingredients in slow cooker except beef stock Cook on LOW for approx 8 hours refer to your user manual Serve as above 10 Thought of the day It is the neglect of timely repair that makes rebuilding necessary lt y Asthmalink J une 20D Asthma amp Respiratory Services Waikato Inc Patron Honoured Life M embers President Vice President Board M embers Fundraising Committee M embers Admin Support Volunteers Business M anager Community Respiratory Nurse Community Respiratory Educator Community Respiratory Nurse Community Respiratory Educator Matamata Community Repiratory Educator South Waikato Asthma Fundamentals Regional Trainers Community Respiratory Dr Peter Rothwell Bev Henneker Shona Bramley Charmaine Donaldson Andrew Fox Colin Tuson amp Lois M eneer J aylene Barwick Shona Bramley Sally Newell J ulian So Kym M oore Coordinator Nancy Illing Rachael Sharma Isabel Laing Shona Bramley Heather Charles Alan amp J udy Thomson Carol Nicholson Catalina Layni V Olmos Vikki Blundell Email waikato_asthma xtra co nz Val Hollands Email asthmawaikatoval xtra co nz Barbara Lawrence Email asthmawaikatobarbara xtra co nz Tracy Keelan Email asthmawaikatotracy xtra co nz Charmaine Donaldson Ph 07 888 7476 J an Wiles Ph 07 886 8564 Val Hollands Barbara Lawrence Tracy Keelan U
3. v Cough several times most days v Bring up phlegm or mucus most days v Get out of breath more easily than others your age Is SPIRIVA right for you Ask your doctor normal Doctor s fees and pharmacy charges apply SPIRIVA is fully funded for COPD Special Authority criteria apply SPIRIVA tiotropium 18mcg isa PRESCRIPTION MEDICINE It is used for making breathing easier in chronic obstructive pulmonary disease COPD including chronic bronchitis and emphysema SPIRIVA should not be used for acute episodes or rescue treatment of bronchospasm Cautions are high pressure in the eye glaucoma kidney problems problems with your prostate gland or passing urine Do not allow the powder into your eyes SPIRIVA like all medicines can cause unwanted side effects in some people These may include dry mouth dry throat cough fast heart beat blurred vision and high pressure in the eye glaucoma If symptoms persist or you have side effects talk to your doctor Always read the label and use strictly as directed DO NOT SWALLOW THE CAPSULES but administer with the HandiHaler device Boehringer Ingelheim PO Box 76 216 Manukau City freephone 0800 802 461 Pfizer PO Box 3998 Auckland freephone 0800 736 363 EP 09 12 TAPS PP6831 Boehringer Pfizer lll Ingelheim koad SPIRIVA tiotropium 18 mcg lt y Asthmalink J une 20D For more information on any COPD support groups contact the Asthma Centre Ex
4. why many of us may take the easy option and choose to use our mouth Bradley amp Clifton Smith 2002 World Wide Web Warning Over recent years the way people seek information has changed with an increasing number relying on the internet for a whole range of activities including shopping entertainment communicating with friends and family and also for accessing health related information A survey in 2009 found that 61 of the people studied stated that they access health information online up from 25 in 2000 with 60 of those people then acting on the information they accessed In addition these people stated that they had high expectations of the accuracy of health information websites yet disturbingly only 8 8 of websites providing information on asthma examined in an American study gave complete accurate information W hile the worldwide web has allowed for an amazing amount of information to be freely available the sheer volumes involved make it impossible to regulate the accuracy of information As a result people may develop potentially dangerous misconceptions about the management of their condition and the science behind it This highlights the need to ensure that when people access more traditional healthcare they need to have a full and frank discussion with their healthcare professional regarding any information they have accessed from other sources in order to check the accuracy of this information Fox amp J ones
5. 2009 Leung 2008 M eadows Oliver amp Cantey Banasiak 2010 Fox S amp J ones S 2009 The social life of health information Pew Internet and American Life Project Retrieved 28 04 2010 from http w ww pewInternet org Reports 2009 8 The Social Life of Health Information aspx Leung L 2008 Internet Embeddedness Links with Online Health Information Seeking Expectancy Value Quality of Health Information Websites and Internet usage Patterns CyberPsychology and Behaviour 11 5 565 569 M eadows Oliver M amp Cantey Banasiak N 2010 Accuracy of Asthma Information on the World Wide Web J ournal for Specialists in Pediatric Nursing Retrieved 29 April 2010 from http w ww 3 interscience wiley com ezproxy auckland ac nz cgi bin fulltext 123332716 PDFSTART Sally Newell Clinical Nurse Specialist Respiratory Waikato Hospital HELP IS ONLY A PHONE CALL AWAY 07 838 0851 If you have asthma one inhaler is all you need Symbicort SMART can simplify your asthma treatment PRESCRIPTION MEDOM YMBICORT 200 Symbicort SMART treats the underlying cause of your asthma and gives you fast relief TURBUHALER like your blue puffer in one inhaler Powder inhaler 0 120 dose Ask your doctor if stepping up to Symbicort SMART is right for you A Symbicort SMART can replace your asthma puffers with one inhaler Specific criteria apply for the use and funding of Symbicor
6. New Zealand Pharmaceutical Schedule August 2008 Ventolin is a registered trade mark of the GlaxoSmithKline group of companies Marketed by GlaxoSmithKline NZ Limited Auckland TAPS PP6390 O9JA Asthmalink June 20D W hat you need to know continued Breathing through your nose is important How do you know if Someone is mouth e The nose is our air conditioning system that warms and filters breathing out germs carried in the air Our lungs like this warm filtered air especially asthmatic lungs Look at your breathing pattern Are you breathing through your upper chestor via your tummy If upper chest breathing you are most likely mouth breathing If tummy breathing you are likely Nose breathing is also believed to dialate airways widen breathing via the nose where you want to be breathing airways helping to keep airways open which is vital and a key function for asthmatics Bradley amp Clifton Smith 2002 If your nose is blocked you will automatically start mouth breathing The problem with mouth breathing is that it allows cool dry unfiltered air into the lungs This causes the lungs to re act and tighten up especially in asthmatics who have senstive lungs e Mouth breathing is there for emergencies when exercising or when under threat eg being chased by a dog etc The flight fright response e Nose breathing creates 50 percent more airflow resistance than breathing through the mouth Hence
7. rings below his eyes which also told me he may have possible sinusitis or rhnitis hay fever His Mum told me he might have hay fever but was not entirely sure then suggested that she go back to her GP and get her son referred to an Ears Nose and Throat ENT specialist When upper airways eg nasal airways are not working as they should this can have an effect on lower airways where the lungs sit and can trigger asthma Since this visit have followed up M um and her son and he has been seen by an ENT specialist He is now on medication for reflux In a month and a half he will return to the ENT specialist to have his adenoids examined Mumis happy as her son is now Little babies get sick very quickly and itis ok to go back to the doctor every day if you are unsure or worried about their condition Write down any changes in breathing patterns feeding habits wet nappies or if baby has a fever The pattern with Bronchiolitis is that babies deteriorate until they hit rock bottom and then Slow ly improve over several days Itcan take a few weeks until they are well again Sleeping better at night and his asthma Is better controlled He still has break through symptoms of shortness of breath but not as frequently he is also now on Serevent long acting reliver Tracy Keelan Respiratory Nurse HELP IS ONLY A PHONE CALL AWAY 07 838 0851 ey Asthmalink Spacers are important if you have an M DI metered dose inhaler
8. Asthmalink lt gt Newsletter of Asthma amp Respiratory Services Waikato Inc Te Ha Ora Huango J une 2 0 D Come and see us at our new premises i lo A s asthma waikato i athe qamri g See rimm d iri B Fi rara HEA F a We re thrilled to have moved to our larger premises on Pembroke Street With the increase in demand for our services we were finding it increasingly difficult to operate from our old Asthma Centre in Nawton Story continued on page 4 Issue Highlights asthmawaikato Better respiratory health for New Zealanders News views and home truths to encourage and inform people with breathing difficulties ey Asthmalink J une 20D recently had a call from a Mum whose baby of a few months of age was coughing wheezing and becoming quite irritable at times He was still drinking well but taking smaller feeds more frequently and she was up to him several times during the night 2 days previously he been to the hospital and had had a chest X ray which was clear The Mum wanted a nebulizer so she could vaporize eucalyptus to help him to breathe could hear the child coughing wheezing and grizzling in the background while M um was on the phone He would settle briefly for a few minutes and then start up again was concerned and felt that Mum should take him back to the doctor She felt that as he had only been seen 2 days previously that a return visit was unnecessary because the X ray was C
9. airs Doors and Shop Fittings For more information on how Design Buzz can help you with your design amp print requirements please feel free to contact us on 07 8555 913 or 021 1500 894 shelly designbuzz co nz 172 Ellis Street Frankton Hamilton 3204 Phone 07 848 1020 Mobile 0274 903 039 Fax 07 848 1030 Email bvantiel ihug co nz Thank you to the team at Concept oinery for giving up a Saturday morning to help us move Care of your spacer Spacers are plastic and pick up static energy so medications Mouth Breathing Itis best to breathe through your nose and to utilise your diaphragm ie movement should be more prominent in the tummy than the upper chest Do you breathe through your mouth because you have a nasal problem Common ailments are hayfever sinisitis and post nasal drip Sometimes this could be a structural thing eg problems with adenoids Ask your doctor or your Asthma Educator whether you need to be referred to an ENT specialist REMEMBER TO GET YOUR FLU VACCINATION The new Flu vaccine includes H1N1 Swine Flu protection and is free to people over 65 years or 6 who have asthma and are using a preventer medication or lt gt have another chronic lung condition Check with your G P to see if you or your children qualify Can just stick to the sides You need the medicine to stay in the air inside the spacer in order to breathe it in To stop the medicine sticking to the sides the s
10. applies Ventolin salbutamol is available as an alcohol free and CFC free Inhaler 100 micrograms per actuation Ventolin is a partially funded Prescription Medicine You will need to pay a part charge for this medicine It is a short acting bronchodilator used for the relief of asthma symptoms Use strictly as directed Do not use Ventolin if you are sensitive to any of the ingredients in the preparation Tell your doctor if you feel that the medicine has become less effective or you are using more than usual have hyperthyroidism high blood pressure cardiovascular disease diabetes are taking any other medicine or herbal remedy including those you buy from a supermarket pharmacy or health food shop Common Side Effects include headache nausea shaky or tense feeling fast or irregular heart beat warm feeling caused by blood vessels expanding under the skin mouth or throat irritation Shortness of breath or wheezing If symptoms continue or you have side effects see your doctor pharmacist or health professional Additional Consumer Medicine Information for Ventolin is available at www medsafe govt nz Prices for Ventolin may vary across pharmacies Normal doctor s office visit fees apply Ask your doctor if Ventolin is right for you 1 Price A Clissold S Drugs 1989 38 1 77 122 2 Gillles J et al NZ Med J 2005 118 1220 79 83 3 N Z Guidelines Group The diagnosis and treatmentof adult asthma Wellington NZGG 2002 4
11. d breathe at your own pace A spacer can be as effective as a nebuliser for acute asthma HELP IS ONLY A PHONE CALL AWAY 07 838 0851 Asthmalink June 20D Fundraising Nancy Illing and her sausage sizzling team are seen regularly outside The Warehouse Hillcrest look out for them over the coming months The funds raised are an important revenue stream for Asthma Waikato as it enables us to continue to provide ever improving services to people with respiratory conditions Balloon Day 2010 was a wonderful success Schools throughout the region provided photo opportunities for their local newspapers Our wonderful volunteers once again helped Thank you to with a stand at Westfield Chartwell raising Matamata Primary School 836 80 for Asthma Balloon Day Thames South School Thanks to the Genesis Energy Employee Huntly West School Volunteering Program we were also fortunate to have a team of fundraisers from Genesis Energy run a street appeal at Garden Place raising 203 70 StJ osephs School Hamilton Morrinsville Intermediate Cambridge Middle School Tokoroa Intermediate Te Kuiti Primary Matamata Group update W inter is now really with us and some of our group find their breathing more difficult but are still attending our gym group sessions On the 21st April Barbara Lawrence came and spoke to us on Asthma M edication which we all found very interesting and informative there was also time for Barbara to speak to sev
12. eral of our members ona one to one basis We felt we wanted to promote Balloon Day and Asthma awareness in M atamata so we held a bring and buy stall at the local market day held in M atamata This turned out to be very successful and the support of our members in their bright Asthma shirts went down well Coming up on the 28th J une we are having our annual luncheon at the R S A where our guest speaker will be a physiotherapist from Waikato Hospital Keep warm Matamata Huffin and Puffin Friends South Waikato Group update Friends Kiwis and All lend me your Years The year in retrospect for South Waikato believe to have been a successful one We have held 3 meetings to which the public were welcome to hear a variety of speakers such as diets not FADS medications and exercises For this years Balloon Day our committee decided to try a venue at Countdown Tokoroa We did not bother with a sausage Sizzle but relied on balloons and smiling faces with collection pails Result An increase of 48 cents over donations received last year ina period of economic downturn an excellent result M any grateful thanks to all who took part Te Quill HELP IS ONLY A PHONE CALL AWAY 07 838 0851 J une 20D ey Asthmalink continued from front page In the past 2 years we have created an additional full time nursing position and have just relocated to larger more prominent premises at 45 Pembroke Street in the health
13. ercise led by fitness instructor Friendship Support Information various speakers attend many sessions WHEN Wednesdays 1 00pm WHERE Beerescourt Bowling Pavillion M aeroa Road Hamilton 2 donation please Session followed by tea and biscuits Information Support Friendship Interesting speakers WHEN Last Thursday of the month 1 30pm WHERE Baptist Church Centre Mary St Thames Gold coin donation welcomed Session followed by tea and biscuits Information Support Friendship e Subsidised gym fees Group luncheons every 4 months Information Support Friendship Public meetings IF you are UNSURE about anything ALWAYS ASK Getan ASTHMA MANAGEMENT PLAN from either your FAMILY DOCTOR or LOCAL ASTHMA SOCIETY Itis best to ALWAYS BE PREPARED for any problems Ingredients 500 g lean beef chuck steak dash of oll 2 onions peeled amp cut into 2cm dice 1 tbsp paprika Method beef stock 400g can Whole Peeled Tomatoes in juice We gratefully acknowledge receipt of the following grants financial Support in the past twelve months Asthma amp Respiratory Foundation NZ COGS Donny Trust Hamilton City Council community wellbeing Lion Foundation NZ Lottery Grants Board Norah Howell Trust NZ Post Page Trust Perry Foundation Sir ohn Logan Campbell Residuary Trust Southern Trust Trust Waikato Waikato Asthma amp Respiratory Trust Waikato W DFF Karamu Trust WEL E
14. h e Sneezing Stuffy nose e May have a temperature After 2 or 3 days breathing may become faster Your pepe baby may sound short of breath Pepe baby s breath may whistle wheeze Sometimes pepe baby s neck or tummy may suck in and out with each breath indrawing Pepe baby may find it difficult to take normal feeds breast bottle or solids Pepe baby may also vomit some of the milk It may be a slimy vomit If breathing amp feeding becomes more difficult pepe baby may look pale sweaty and tired Pepe baby will continue to cough and wheeze for days after an attack of Bronchiolitis and then gradually improve The cough usually lasts 10 14 days but may last as long as a month The infection usually begins as an ordinary cough or cold which may then progress to Bronchiolitis Most adults and school children will only suffer cold symptoms but in children under 2 years the chest is often affected Pepe babies have much smaller breathing tubes than adults so the swelling caused by the virus affects them a lot more When the breathing tubes swell lots of mucous is produced This narrows the tubes even more causing coughing and wheezing Even though your pepe baby may be well enough at home the cough chestiness and wheeze may continue for some time The amount of fluids pepe baby takes each feed may decrease Small frequent feeds are best Having fluids is more important at this stage than ha
15. lear and the doctor had told her that baby could take a couple of weeks to recover However as he had gota bit worse and his feeding pattern had changed she agreed to see her GP The baby was admitted to hospital for 2 days on oxygen and Mum rang us back to say she was so pleased that she had rung us and listened to our advice Val Hollands Respiratory Nurse This client an 8 year old boy has been asthmatic since he was 2 years old His asthma is usually well controlled but over the past few months Mum had noticed his asthma worsening particularly on exersion or during exercise His asthma medications are flixotide and ventolin He was on the top dose for flixotide 200mcg which he had been on for a good week in an attempt to gain some control over his asthma Mum was reluctant to give him any flixotide because she was worried he was taking too much steriod explained to her he must take flixotide as this will help to protect his lungs by reducing swelling and excess mucous that can plug up the airways On observation noticed this young man was over breathing through his mouth No nasal nose breathing was happening as his nose was either congested or he had a possible structural problem going on Mum told me her son mouth breathes all the time explained the implications around mouth breathing for an asthmatic also noticed as a result of mouth breathing he was using his upper chest to breathe instead of his tummy He had dark
16. nergy Trust Thank you for donations from The Cambridge Parish Opportunity Shop Hauraki Plains Lioness Club M orrinsville Lions Club Asthma amp Respiratory Services Waikato Inc wishes to thank the generous support of the following businesses Organisations Please support them too Care Medical CB Richard Ellis Ltd Concept oinery Community Waikato Dallas M itsubishi Entertainment Books Evans Bailey Solicitors Hamilton Press Hauraki Herald Microsoft amp TechSoup M YOB Ngaruawahia Golf Club Owen McLeod amp Co Chartered Accountants Powder Room Ricoh Signs amp Beyond St Francis Church This Week Volunteering Waikato Waikato Times Warmup Waikato Web Health 1 2 cup Tomato Puree 425g can Mexican Beans choose spicy beans if you like them 12 mushrooms diced 1 2 cup beef stock 1 Dice the beef chuck steak into large 3cm pieces 2 Heat the oil in a frying pan and brown the meat in two batches over a moderate to high heat and then transfer to a casserole 3 Add the onion to the pan and cook 2 3 minutes Sprinkle over the paprika and cook for half a minute before stirring inthe tomatoes in juice tomato puree mexican beans mushrooms and Amended recipe from Food ina Minute 4 Bring to the boil and then pour over the beef Cover and cook at 160 C for 1 1 4 hours until the website healthy choice options meat is tender 5 Serve hot with your favourite green vegetable and some mashed potato Crockpot
17. p to date information on respiratory conditions Comprehensive education at your place or ours Telephone respiratory advice someone to talk to Information pamphlets Regular newsletters local and national Community based Respiratory Rehabilitation Programs conditions apply COPD Support Groups Guest speakers for groups Spirometry testing Nebuliser hire amp sales Allergy relief bedding sales Practice Nurse asthma training Community Health Worker training Asthma Waikato 45 Pembroke Street Hamilton Lake Hamilton 3204 9 00am to 5 000m M onday to Friday www asthmawaikato wainet org P O Box 7013 Hamilton East Hamilton 3247 Phone 078380851 Fax 07 838 0852 walkato_asthma xtra co nz The authors publishers and editor of the Asthma and Respiratory Services Waikato Inc Newsletter shall not be responsible or in any way liable for the continued validity of the information given or for any errors omissions or inaccuracies in this publication whether arising from negligence or in any other way or for any Rehabilitation coordinator Email asthmawaikatotracy xtra co nz M atamata AsthmaLink Trevor Robinson Ph 07 888 6391 consequences arising therefrom The inclusion or exclusion of any South Waikato AsthmaLink lain Bell Ph 07 883 3039 product does not mean that the TGS aces or rejects i use either generally or in any particular field or fields Any origina Thames COPD support Group Eileen Bain Ph 07 868 8127 material in this new
18. pacer needs to be primed To prime and clean the spacer 1 Wash in warm soapy water 2 Shake excess bubbles Don t rinse the spacer 3 Leave to drip dry Don t dry with a tea towel The detergent bubbles line the plastic so the medicine doesn t stick to it Remember If you have a new spacer it needs to be primed before you use it for the first time xx IMPORTANT ar i i t Do you use SPIRIVA Ask your pharmacist to replace your handihaler annually The needle inside the handihaler which pierces your medication capsule can go blunt over time so should be replaced HELP IS ONLY A PHONE CALL AWAY 07 838 0851 lt Asthmalink June 20D Bronchiolitis is the swelling of the smaller breathing tubes called Bronchioles in the lungs The linings of these tubes become very Swollen and blocked with mucous phlegm Babies and toddlers are more affected It is usually caused by a viral infection more commonly known as RSV Respiratory Syncytial Virus Bronchiolitis is usually a disease of young tamariki children under 2 years It starts from about 3 6 months of age Although itis often a mild illness similar to a mild cold Some pepe babies are at risk of developing a more severe illness requiring hospitalization Babies with chronic heart amp lung disease prematurity amp a weakened immune system due to illness or medication are more at risk Are similar to a common cold Runny nose e M ild coug
19. plained that he could use his spacer rather than his nebuliser when having an acute episode Both these children had caring parents both had access to medication and health care but neither were using their medications properly It may be that the dashes to the A amp E could have been avoided Barbara Lawrence Respiratory Educator A spacer is a plastic tube that puts space betw een the person s mouth and the medication Research has shown that there is up to 50 better deposition in the lungs when using a spacer than when inhaling directly into the mouth even if you have the best technique in the world Most people s technique is less than ideal J une 20D SPIROMETRY TESTING 35 cheaper for existing clients Our spirometry technicians are trained and certified by Respiratory Physiology Laboratory Christchurch Hospital The Christchurch Spirometry Training Course is a TSANZ and ANZSRS endorsed course asthmawaikato Better respiratory health for New Zealanders Available from the Asthma Centre 10 each Using a spacer can help prevent oral thrush and reduces the amount of medication that gets deposited in the mouth and throat Using a Spacer removes the need to take a deep breath and hold it for 10 seconds when taking inhaled medication This is especially beneficial when you are feeling unwell and short of breath Using a Spacer removes the need for any hand breath coordination J ust press an
20. professional precinct of Hamilton What we are finding is that demand for our Services is increasing and we need to increase our capability to provide our community based services In this climate we are increasingly dependent on philanthropic support grant funding and the goodwill of the community who donate various goods time and money If you would like to support our work please do contact us We would appreciate discussing ways that we can help each other We have come a long way Our recent move to 45 Pembroke St Hamilton Lake Hamilton is our 8th location since becoming an Incorporated Society in 1973 Originally Asthma Waikato had a base on the Waikato Hospital campus alongside the Rheumatology Department and we needed to relocate as that department expanded Following that lan McMichael Pharmacist provided a total of five locations all associated with Pharmacy 547 and we take this opportunity once again to thank lan for his support over the years Our previous Asthma Centre in Nawton provided a community based asthma centre for five years and we hope to remain in Pembroke St for many years to come Asthmalink was proudly designed amp print managed by Design Buzz Ltd This Newsletter is printed on paper from sustainable forests ry l E f N TTA f lt i F a 4 Faj an y 7 ITUA NS E olin hot C agent ESN For GS B E Cimited DEsieneuzz Manufacturers of all Commercial amp Residential Joinery St
21. sletter may not be used in any way without Hamilton COPD Support Group Shona Bra mley Ph 07 838 0851 request to Asthma amp Respiratory Services Waikato Inc Se eee ESSEET eae ee eee E TE AAA NE N EA N mb If you would like to support us we invite you to become a financial member of the Society Members receive Yes want to help others in the Waikato understand their respiratory conditions e The quarterly Asthma and Respiratory Foundation NZ newsletter as well as AsthmaLink Discounts on allergen free bedding Please find enclosed a cheque for Discounts on nebuliser purchases and nebuliser hire Q 20 100 C 30 C Other Please complete this form and return to O 50 Asthma amp Respiratory Services Waikato Inc Te Ha Ora Huango P O Box 7013 Hamilton East Hamilton 3247 would like to become a member of Asthma amp Respiratory Services Waikato and enclose my membership subscription Please write cheques to Asthma amp Respiratory Services Waikato And post to P O Box 7013 Hamilton East Hamilton 3247 Or pay directly to Name National Bank Frankton Branch Last name First Name s Account 06 0313 0186176 00 ETA Reference your name Donations over 5 are tax deductible O Please tick if a receipt is required Phone Email Please send me information on how to make a regular donation from my bank account O I would like information on leaving a gift to Asthma amp Respiratory Ser
22. t Symbicort Maintenance And Reliever Therapy Symbicort should not be initiated as emergency treatment for severe exacerbations or for patients with acutely worsening asthma symptoms Symbicort Turbuhaler contains budesonide 100 ug or 200 ug per dose preventer and eformoterol 6 ug per dose symptom controller Tell your doctor if you have thyroid problems heart problems diabetes problems with potassium levels pregnancy breast feeding Side Effects The most common side effects are mild irritation in the throat coughing hoarseness thrush fungal infection in mouth and throat headache trembling fast or irregular heartbeat Rarely allergic reactions Symbicort is a Prescription Medicine Use strictly as directed If symptoms continue or you experience Symbicort side effects see your doctor pharmacist or health professional Symbicort is fully funded under certain criteria Your doctor s fee and prescription fee will still apply For full consumer information please refer to the manufacturer s Consumer Medicine Information Sheet available at www medsafe govt nz 19 March 2007 Symbicort and Turbuhaler are trademarks of the AstraZeneca Group AstraZeneca Limited Private Bag 92175 299 Auckland 1142 Telephone 09 306 5650 TAPS NA4095 04 10 essence AZ5268 L www oneinhaler com Live life not a COPD life Vv Ad yrs V Smoker Ex Smoker Are you All 3 parameters v Regular Combivent Inhaler user Do you 1 or more
23. vices Waikato Inc in my will THANK YOU Annual membership is 25 or 20 for seniors and beneficiaries and covers everyone living at your address Please find enclosed Donation HELP IS ONLY A PHONE CALL AWAY 07 838 0851 Annual membership
24. ving solids Watch how much fluid pepe baby has had write it down to make sure they do not become dehydrated Write down the number of wet or dirty nappies 8 9a day are normal Pepe baby may need saline salt water nose drops before feeds to clear the nose These are available from your pharmacy When pepe baby has Bronchiolitis there is a lot more mucous phlegm than normal and this may cause slimy vomits and you may notice slimy nappies Keep pepe baby away from all childcare facilities until fully recovered If there are other tamariki children in the house with colds or flu try to keep them away from pepe baby Always remember that all whanau family need to wash their hands before amp after handling pepe baby Pepe baby is better in its own bed amp slightly elevate the head of the mattress to help clear airways The cough will gradually disappear by itself amp does not need any special treatment Cough medicines are not recommended in babies and young children HELP IS ONLY A PHONE CALL AWAY 07 838 0851 THERE NO SUBSTITUTE FOR EXPERIENCE With nearly 40 years experience Ventolin is well established as a first choice asthma reliever for New Zealanders Itaees not contain CRs OF alecenol artemis sulle ewe E Expenence counts Ask for Ventolin by name PRESCRIPTION ONLY MEDICINE GlaxoSmithKline esky Ventolin is partially funded in the Pharmaceutical Schedule a part charge
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