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Asthma in Children: Knowing How Bad an Attack Is

Overview

It can be hard to know if your child is having a mild, moderate, or severe asthma attack. The following chart may help you. Talk with a doctor if you can't tell how bad your child's symptoms are.

In most cases, you can take care of your child's symptoms at home by looking at your child's asthma action plan. The plan tells you what symptoms to watch for, which medicine your child needs to use, and when to call a doctor or seek emergency treatment.

Gauging the severity of your child's asthma attack
FactorMild attackModerate attackSevere attack
Peak expiratory flow80% to 100% of personal best50% to 79% of personal bestLess than 50% of personal best
BreathingNormal or slightly fasterFaster than normalRapid, and your child may appear preoccupied with breathing. They may want to sit upright to help with breathing.
BreathMild or no shortness of breath; can speak in full sentencesShort of breath; can speak in short phrases or parts of sentencesVery short of breath; speaks in single words or short phrases
ChestDoes not use or slightly uses chest muscles to breatheUses chest and neck muscles to breathe. The skin between, under, and above the ribs collapses inward with each breath.Uses chest and neck muscles to breathe and may open nostrils wide; may clutch at the chest
SkinNormal skin colorPale skin colorVery pale or bluish skin color; may sweat more than normal
WheezingWheezes while breathing outWheezes while breathing in and outDoes not wheeze while breathing. This means there may be little or no air in the airways.
AlertnessNormally alertNormally alertNot as alert as usual and may appear anxious

It is important to treat your child's asthma attacks quickly. If your child does not improve soon after treating an attack, talk with a doctor.

  • During attacks, stay calm and soothe your child. This may help your child relax and breathe more easily.
  • Don't underestimate or overestimate how bad your child's asthma is. It is often hard to know how much breathing difficulty a baby or small child is having. Seek medical care right away for babies and small children who have asthma symptoms.

Related Information

Credits

Current as of: October 25, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: October 25, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.