The Effects of Smoke Exposure in Asthmatic Children

Megan Frano, Trevor Gump, Bailey Kilpatrick, Elena Neal, Mariah Nuzzi, Brianna Workman Faculty
Advisor: Dr. Kim Ballone, DNP, APRN-CNP

Overview Review of Literature Conclusion

Asthma, being one of the most common Smoke exposure has many different affects on
childhood medical diagnoses, is a disorder that
Our goal was to investigate the affects of smoke children with asthma. Fortunately, exposure to
nurses must become familiar with. Airway secondhand smoke in America is declining, but
patency as well as breath depth and rate are
exposure in children with asthma. According to Wu,
78% of the homes of pediatric asthmatics had a still present. SHS increases the risk of
vital to a patient’s wellbeing. A nurse must be hospitalization in asthmatic children. With
skilled and swift in the treatment of patients detectable home nicotine levels. Of those, 60% had
ENDS use on the rise in our society, another
during asthma exacerbations as they are tense, someone in the home who smoked, the other 40% did form of smoke exposure poses a threat. ENDS
potentially life-threatening situations. Despite not- indicating that smoke exposure was coming in use and secondhand exposure. causes more
the detrimental effects of smoke exposures through an external source (2019). While SHS exposure exacerbations of asthma symptoms. Education
being widely know, asthmatic children continue is on the decline, 37% of children are exposed to SHS is necessary to promote a safe and healthy
to be exposed to secondhand smoke (SHS),
every day (2017). Children exposed to SHS are much environment for children with asthma.
thirdhand/external smoke, environmental
smoke, electronic nicotine delivery systems
more likely to be admitted to the hospital than children
(ENDS), as well as prenatal smoke exposure. All without SHS exposure (2017). While cigarette smoking
of these exposures were reviewed to determine has gone down over the years, the popularity of ENDS
could be contributing to the continuing percent of SHS
References
the relationship between exposure and asthma
status. exposure today. ENDS use in children with asthma
increases the chances of missing school due to Bayly, J. E., Bernat, D., Porter, L., & Choi, K. (2019).
PICOT Question exacerbation of symptoms. In a study conducted by Secondhand Exposure to Aerosols From Electronic
Nicotine Delivery Systems and Asthma Exacerbations
Jennifer Baylay, 21% of adolescents who reported use
Among Youth With Asthma. Chest, 155(1), 88–93.
of ENDS also reported having an asthma attack within https://doi:10.1016/J.CHEST.2018.10.005
How do various types of smoke exposure 12 months of use (2019) Almost one-half of the youth were
affect children 0-18 with asthma? exposed to secondhand smoke, and one-third were exposed Merianos, A. L., Jandarov, R. A., & Mahabee-Gittens, E. M.
to secondhand ENDS aerosols (see table). Children (2017). Secondhand Smoke Exposure and Pediatric
exposed to high levels of Particulate Matter (PM10) are 2 Healthcare Visits and Hospitalizations. American Journal
% more likely to be hospitalized for asthma. Ozone gas of Preventive Medicine, 53(4), 441–448.
has no statistical significance on asthma exacerbation. https://doi.org/10.1016/j.amepre.2017.03.020 
Asthmatic Youth Smoke Exposure
100%
Wu, T.D., Eakin, M.N., Rand, C.S., Brigham, E.P., Diette,
90%
G.B., Hansel, N.N., & McCormack, M.C. (2019). In-Home
80%
5,817 Houses With a Detectable Nicotine Level Secondhand Smoke Exposure Among Urban Children
70%
7,613 With Asthma: Contrasting Households With and Without
60%
Residential Smokers. Journal of Public Health
50% Management & Practice, 25(2), E7-E16. 
40% https://doi.org/10.1097/PHH.0000000000000790
30% 40%

5,611
20%
3,812 60%

10%
0%
Exposed to Secondhand Smoke Exposed to Secondhand ENDS
Aerosols Houses With a Detectable Nicotine Level

Yes No Smoked No Smoking

Bitonte College of Health and Human Services Department of Nursing