Asthma Warning Signs Early Signs of Asthma Signs as Asthma Worsens: Mood Changes: ___ Voice change ___Shallow fast breathing ___ Aggressive ___Quiet ___ Quickening pulse ___Listless ___ Overactive ___Grouchy ___ Wheezing increases ___ Tired ___Easily upset ___ Other___________________________________ ___ Other___________________________________ Change in Facial Features: Signs of Severe Asthma ___ Red face ___Swollen face ___ Breathing from the neck up ___ Dark circles under eyes ___Pale face ___ Indentation at hollow of the neck ___ Other___________________________________ ___ Perspiration (sweating) Verbal Complaints: ___ Holding Hands over head ___ Fatigue ___Tight chest ___ Blue lips and or fingernails ___ Neck feels funny ___Don‘t feel good ___ Other___________________________________ ___ Chest filing up ___Chest hurts ___ Raised shoulders ___ Mouth dry ___Making noise breathing ___ Expression of fear ___ Other___________________________________ ___ Flared nostrils Breathing Changes: ___ Leaning over or on leaning on something to breathe ___ Coughing ___Taking deep breaths ___ Labored breathing ___ Mouth breathing ___Wheezing ___ Decreased wheezing (diminished or absent breath sounds is a sign of a SEVERE ATTACK) ___ Other___________________________________ Other: ___ Stroking chin ___Itchy chin ___ Other___________________________________ For more resources visit: www.wvasthma.org