HTML Preview Child Asthma Action Plan page number 1.
Starting to get a tight cough,
wheeze or chest tightness
Increased asthma with a cold
Waking at night with asthma
symptoms
Give .……………………………….
(reliever)
Up to 3 - 4 hourly as needed:
2 – 6 puffs via spacer
(Less than 6 years old)
2 – 12 puffs via spacer
(6 years or older)
If on daily preventer medication,
continue same dose as usual or follow
your doctors instructions
What should I do?
No wheeze, cough or chest
tightness
Can play and exercise without
wheeze, cough or chest
tightness
Need reliever puffer less than
3 times a week (not including
before exercise)
Not waking at night due to
asthma symptoms
Preventer/Combination
Medication
:
……………………………………....
…….puffs …… times a day everyday.
………………………. …… mg
tablet once a day.
Reliever:
…………………………………..…
Up to……………..puffs, if needed
Severe
Needing reliever more than
every ½ hour, OR
Blue lips, OR
Difficulty speaking or feeding
due to breathlessness OR
Frightened OR
Exhausted
CALL AN AMBULANCE on 000
While waiting stay calm and give:
……………………………………….
(reliever)
4 puffs every 4 minutes
Use a spacer if available
What should I do?
Danger Signs
Needing reliever more than
every 3 hours for one or more
of the following:
Wheeze
Chest tightness
Sucking in around neck, ribs or
tummy with breathing
What should I do?
Keep giving…………….puffs of
……………………………………..
(reliever)
as needed.
Start Oral steroid if prescribed:
……………………...……………..
………………… mg (………….ml)
And see a doctor or come into
hospital AS SOON AS POSSIBLE
When Unwell
What should I do?
When Well
Asthma Action Plan For Children
Take this
p
lan with
y
ou when
y
ou next visit
y
our docto
r
Name: ………………………………………. Ph: …………………………..
.
Signature: Date:
Patient name :………………………………………………………………