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Signs and Symptoms of Common Health Issues at School
Allergic Reactions
ASTHMA
HEAT EXHAUSTION
HEAD INJURY
HYPOGLYCEMIA (LOW BLOOD SUGAR)
HYPERGLYCEMIA (HIGH BLOOD SUGAR)
Persecution
SEIZURES
For Allergic Reactions: THINK F. A. S. T.
Face:
itchiness, redness, swelling of face and tongue
Airway:
trouble breathing, swallowing or talking
Stomach:
pain, vomiting, diarrhea
Total Body:
rash, itchiness, swelling, paleness, loss of consciousness

ASTHMA

Some Signs and Symptoms of Asthma:
Wheezing, Coughing, Difficulty Breathing and/or shortness of breath
A Serious Asthma Episode may include:
Breathlessness that may cause the student to speak in one-to-two word sentences or be unable to speak.
The student may stop an activity and be unable to start again.
The student’s neck muscles may tighten with each breath.
Lips and nail beds may have a grayish or bluish color.
Many students need to use their inhalers 15 – 30 minutes before physical education class to prevent asthma difficulties during periods of exercise.

HYPOGLYCEMIA (LOW BLOOD SUGAR)

Onset: Sudden
Signs: Staggering, poor coordination
Anger, bad temper
Pale color
Confusion, disorientation
Sudden hunger
Sweating
Eventual stupor or unconsciousness
Causes: Failure to eat before strenuous exercise
Delayed or missed meals or snacks
Treatment: Provide sugar. If the person can swallow without choking, offer any food or drink containing sugar (no diet drinks!).

IF THE STUDENT DOESN’T FEEL BETTER IN 10-15 MINUTES,
INITIATE EMERGENCY CARE

HYPERGLYCEMIA (HIGH BLOOD SUGAR)

Onset: Gradual
Signs: Drowsiness
Extreme Thirst, Very frequent urination
Flushed skin
Vomiting, fruity or wine-like odor to breath
Heavy breathing
Eventual stupor or unconsciousness
Causes: Undiagnosed diabetes
Insulin not taken
Stress, injury or illness
Too much food and/or drink
Treatment: Pursue Emergency Care and take this person to the hospital

SEIZURES

Tonic-Clonic Seizure:
Entire body stiffens, jerking movements
May cry out, turn bluish, be tired afterwards
Absence Seizure:
Staring spell, may blink eyes
Seizure Care:
Clear the area around the student to avoid injury
Do not put anything in the child’s mouth
Place the student on his/her side if possible
Speak to the student in a reassuring tone
Reassure the other students in the room
Stay with the student until help arrives

HEAT EXHAUSTION

Symptoms:
Dehydration, Fatigue
Clammy skin, Headache
Nausea/vomiting
Treatment:
Bring indoors or into shade
Loosen or remove clothing
Rub arms and legs down with cool water
Call physician or healthcare provider if student can’t eat or drink
If left untreated, may escalate to Heat Stroke

HEAT STROKE

Symptoms:
Flushed, dry skin – no sweating seen
Temperature of 105? or higher
Severe, throbbing headache, weakness
Dizziness, confusion, sluggishness, fatigue
Seizure, decreased responsiveness
Loss of conciousness
Treatment: THIS IS A MEDICAL EMERGENCY! CALL 911- Get child indoors or into shade, sponge or douse student with cool water
DO NOT GIVE FLUIDS!

HEAD INJURY

Following an injury to the head, the student should be observed for the following symptoms:
Severe headache
Excessive drowsiness
Nausea and/or vomiting
Double vision, blurred vision pupils of different sizes
Loss of muscle coordination such as falling down, walking strangely, or staggering
Convulsions or seizures
Unusual behavior: confusion, irregular breathing, dizziness, etc.
Bleeding or discharge from the ear
Contact the student’s healthcare provider or take child to the Emergency Room if any of the above symptoms are present.

What to Do

Know when and how to call the school nurse!
Access medical emergency care as needed
Discuss questions or concerns with the school nurse
Respect student’s private health information
Relax and enjoy your students!