What to do in an asthma attack
Even if you avoid all know triggers and take your asthma medication correctly you may
occasionally have an asthma attack.
What to do in an asthma attack
1. Take one to two puffs of your reliever inhaler (usually blue), immediately.
2. Sit down and try to take slow, steady breaths.
3. If you do not start to feel better, take a further two puffs of your reliever inhaler (one
puff at a time) every two minutes. You can take up to ten puffs.
4. If you do not feel better after taking your inhaler as above, or if you are worried at any
time, call 999.
5. If an ambulance does not arrive within 10 minutes and you are still feeling
unwell, repeat step 3.
If your symptoms improve and you do not need to call 999, you still need to see a doctor
or asthma nurse within 24 hours.
How do I know that I am having an asthma attack?
The following are signs that you are having an asthma attack

Your reliever inhaler does not help.

Your symptoms are getting worse (cough, breathlessness, wheeze or tight
chest).

You are too breathless to speak, eat or sleep.
Do not be afraid to seek help, even at night. If you go to your accident and emergency
department or need to call an ambulance please make sure they know which
medication you usually take.
What should I do after an asthma attack:
Make an appointment with your doctor or asthma nurse for an asthma review within 48
hours of your attack.
You will also need another review within one or two weeks to review your current
asthma treatment and ensure your asthma is well controlled.
Do not ignore worsening symptoms
Asthma attacks can often be the result of gradual worsening of symptoms over a few
days that you may not have noticed.
Needing to use your reliever inhaler more than three times a week may suggest that
your asthma is not as well controlled as it could be.
If your asthma symptoms are getting worse or you're using your reliever inhaler more,
don't ignore it.
If your symptoms continue to get worse, make an urgent appointment to see your doctor
or asthma nurse within 24 hours.
Signs that your asthma is getting worse
Sometimes you may find that your regular asthma treatments are not working as well as
normal and your asthma is getting worse.
ASTHMA
When you are well you should be able to do all the daily things that you normally do.
Signs that your asthma is getting worse include:
• needing more and more reliever medicine
• feeling like your asthma medicines are not working as well as they normally do
• waking at night with coughing, wheezing, shortness of breath or a tight chest
• feeling that you cannot keep up with your normal level of activity or exercise.
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