Asthma Attack

Symptoms

Symptoms of an asthma attack are wheezing, a cough, tight chest, and trouble breathing.
Wheezing is the classic symptom. Wheezing is a high-pitched whistling or purring sound.
You can hear it best when your child is breathing out.

Asthma Attack Scale

Mild: No Shortness of Breath (SOB) at rest. Mild SOB with walking. Can talk normally. Speaks in sentences. Can lay down flat. No retractions (tugging in between the ribs with each breath). Wheezes not heard. (GREEN Zone: Peak Flow Rate 80-100% of normal rate)
Moderate: SOB at rest. Speaks in phrases. Wants to sit (can't lay down flat). Mild retractions. Wheezing can be heard. (YELLOW Zone: Peak Flow Rate 50-80% of normal rate)
Severe: Severe SOB at rest. Speaks in single words. Struggling to breathe. Severe retractions. Wheezing may be loud. (RED Zone: Peak Flow Rate less than 50% of normal rate)

Causes (Triggers) of Asthma Attacks

Overview:

Asthma Quick-Relief Medicine:

Your child's quick-relief (rescue) medicine is albuterol or xopenex.
Start it at the first sign of wheezing, shortness of breath or hard coughing.
Give by inhaler with a spacer (2 puffs each time) or use a neb machine.
Repeat it every 4 hours if your child is having any asthma symptoms.
Never give it more often than 4 hours without talking with your child's doctor.
Caution: If the inhaler hasn't been used in over 7 days, prime it. Test spray it twice into the air before using it for treatment. Also, do this if it is new.
Use the medicine until your child has not wheezed or coughed for 48 hours.
Spacer: Always use inhalers with a spacer. It will get twice the amount of medicine into the lungs.

Asthma Controller Medicine:

Long-term controller medicines help prevent asthma attacks. Most are inhaled steroids. They are given daily.
Controller medicines keep the airway from getting inflamed and irritated.
If your child is on one, keep giving it during asthma attacks.

Cough Treatment:

The best "cough medicine" for a child with asthma is usually their asthma medicine.
Even if coughing is the only symptom, try the albuterol neb or inhaler.
If mild coughing doesn't improve, it may just be a normal part of a cold. Treat it like coughs in children without asthma.
Use honey 2 to 5 ml for children over 1 year old. Use cough drops for children over 6 years old.
Caution: Don't use cough suppressants such as DM in children with asthma.

Nose Allergies (Hay Fever):

Fluids:

Try to get your child to drink lots of fluids.
Goal: Keep your child well hydrated.
Reason: It will loosen up any phlegm in the lungs. Then it's easier to cough up.

Humidifier:

If the air in your home is dry, use a humidifier. Reason: Dry air makes coughs worse.

Avoid Tobacco Smoke:

Avoid Triggers:

What to Expect:

If treatment is started early, most asthma attacks are quickly brought under control.
All wheezing should be gone by 5 days.

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