Asthma in Children: Knowing How Bad an Attack Is

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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
Factor Mild attack Moderate attack Severe attack
Peak expiratory flow 80% to 100% of personal best 50% to 79% of personal best Less than 50% of personal best
Breathing Normal or slightly faster Faster than normal Rapid, and your child may appear preoccupied with breathing. They may want to sit upright to help with breathing.
Breath Mild or no shortness of breath; can speak in full sentences Short of breath; can speak in short phrases or parts of sentences Very short of breath; speaks in single words or short phrases
Chest Does not use or slightly uses chest muscles to breathe Uses 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
Skin Normal skin color Pale skin color Very pale or bluish skin color; may sweat more than normal
Wheezing Wheezes while breathing out Wheezes while breathing in and out Does not wheeze while breathing. This means there may be little or no air in the airways.
Alertness Normally alert Normally alert Not 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.

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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.

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.

The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.