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* Symptoms of acute attack include difficulty talking or walking because of shortness of breath or lips or fingernails turning blue.
1. Follow the Persons Asthma Plan, if Possible
* Find out if the person has an individualized asthma action plan from a health care provider.
* If so, follow its directions for giving asthma medication and seeking medical help for acute asthma attack.
2. Give Asthma First Aid
If the person doesn`t have an asthma plan:
* Sit the person upright comfortably and loosen tight clothing.
* If the person has asthma medication, such as an inhaler, assist in using it.
* If the person doesnt have an inhaler, use one from a first aid kit or borrow someone elses.
3. Use Inhaler With a Spacer, if Possible
* Remove cap and shake inhaler well.
* Insert inhaler into spacer.
* Have the person breathe out completely and put mouth tightly around spacer mouthpiece.
* Press inhaler once to deliver a puff.
* Have the person breathe in slowly through the mouth and then hold breath for 10 seconds.
* Give a total of four puffs, waiting about a minute between each puff.
4. Use Inhaler Without a Spacer, if Necessary
* Remove the inhaler cap and shake well.
* Have the person breathe out all the way and seal lips tightly around inhaler mouthpiece.
* As the person starts to breathe in slowly, press down on inhaler one time.
* The person should keep breathing in as slowly and deeply as possible (about five to seven seconds) and then hold breath for 10 seconds.
* Give a total of four puffs, waiting about one minute between each puff.
5. Continue Using Inhaler if Breathing Is Still a Problem
* After four puffs, wait four minutes. If the person still has trouble breathing, give another set of four puffs.
* If theres still little or no improvement, give four puffs every four minutes until ambulance arrives. If the person is having a severe attack, give up to six to eight puffs every five minutes.
6. Monitor the Person Until Help Arrives
* Do not mistake drowsiness as a sign of improvement; it could mean asthma is worsening.
* Do not assume the persons asthma is improving if you no longer hear wheezing.
7. Follow Up
* An emergency room doctor will check the severity of the attack and provide treatment, including medications.
* The person may be discharged home or hospitalized for further care, depending on response to treatment.
Source link: http://firstaid.webmd.com/asthma-treatment