A worsening of your child’s asthma caused by exposure to one of their triggers. These vary between children but the most common ones are coughs and colds, cold weather, cigarette smoke, pet fur or feathers and pollen.
Over the next few days you should assess your child at least every 4 hours to make sure that they are recovering from their attack of wheezing.
This is particularly important at night and first thing in the morning.
If they are breathless or wheezy
If they are not breathless or wheezy
You should continue your child’s normal preventer treatment(s) during an acute exacerbation of asthma.
If your child is:
Give 10 puffs of blue (salbutamol) reliever inhaler every 10 minutes until ambulance arrives.
Keep child in upright position and reassure them.
Increase blue (salbutamol) reliever inhaler 6-10 puffs every 4 hours
If your child starts to cough, wheeze or has a tight chest but can continue day to day activities
Give 2-5 puffs blue (salbutamol) reliever inhaler every 4 hours until symptoms improve.
Choose appropriate sized spacer with mask (or mouthpiece if child is over 3 years with good technique and is not
significantly short of breath).
Repeat steps 1 – 5 for subsequent doses
Plastic spacers should be washed before 1st use and every month as per manufacturer’s
Click here for videos on inhaler technique.
If your child has been discharged from hospital, you should arrange for them to be seen in the next 48 hours by your GP
or GP practice nurse.