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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

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. He or she 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 early for babies and small children who have asthma symptoms.

Related Information

Credits

Current as of: July 31, 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: July 31, 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.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

Houston Methodist DeBakey Cardiology Associates
6550 Fannin St.
Smith Tower, Suite 1901
Houston, TX 77030

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Houston Cardiovascular Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded HCA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary