Asthma

**Signs and Symtoms:**
- cough, wheeze - shortness of breath - able to speak between breaths - continual cough, loud wheeze - obvious difficulty breathing - only able to speak in small phrases between breaths - severe difficulty breathing - speak no more than a few words at a time - wheeze is quite quiet - sucking in of throat and rib muscles - pale and sweaty - may have blue lips - distressed and anxious
 * Mild Attack
 * Moderate Attack
 * <span style="font-family: 'Times New Roman',Times,serif;">Severe Attack

<span style="font-family: 'Times New Roman',Times,serif;">**Management**
<span style="font-family: 'Times New Roman',Times,serif;">Call ambulance straight away <span style="font-family: 'Times New Roman',Times,serif;">Start Asthma first aid: <span style="font-family: 'Times New Roman',Times,serif;">1) Sit person upright and be calm and reassuring. Do not leave them alone. <span style="font-family: 'Times New Roman',Times,serif;">2) Give 4 seperate puffs of blue reliever <span style="font-family: 'Times New Roman',Times,serif;">one puff four breaths <span style="font-family: 'Times New Roman',Times,serif;">one puff four breaths <span style="font-family: 'Times New Roman',Times,serif;">one puff four breaths <span style="font-family: 'Times New Roman',Times,serif;">one puff four breaths <span style="font-family: 'Times New Roman',Times,serif;">3) Wait four minutes to see the effect of the reliever treatment <span style="font-family: 'Times New Roman',Times,serif;">4) If there is little or not improvement, repeat steps 2 and 3

<span style="font-family: 'Times New Roman',Times,serif;">CALL 000. Continue steps 2 and 3 untill help arrives.