Helping Your Child Live With Asthma

Don’t let your asthma limit your activities—Control Your Asthma!

• Follow your Asthma Action Plan and know when and where to get help.
• Take your medicines as prescribed. Do not stop them without talking to your provider.
• Keep track of how many puffs are left in your inhalers so you know when to get a refill.
• If you need albuterol more than 2 days per week or 2 nights per month, your asthma is not controlled! Check your Asthma Action Plan or contact your provider.
• If one canister of albuterol lasts you at least 4 months, your asthma is well controlled.
• Avoid your triggers! Dust, pollen, pets, smoke, illness, stress, colds.
• Contact your provider every 6 months to update your Asthma Action Plan.

How to Use Your Medicines

Inhaler and Spacer Tips: Inhalers with spacers work as well as or better than nebulizers.

• Shake your canister really well.
• Prime your inhaler (see back of this page)
• Always use a spacer
• If using a mouthpiece: Take a slow breath in and hold for 10 seconds.
• If using a mask: Make a good seal around the mouth and nose and breathe in and out 10 times.
• Wait 1 minute between puffs.
• Wait 5 minutes between using your albuterol and controller medication.
• Rinse mouth after use.

Nebulizer Tips

• Most of the medication is lost if you try to give "blow by" treatments.
• If using a mask, make sure it is touching the skin around the mouth and nose.
• If using a mouthpiece, make sure the lips are sealed around it.

Common Asthma Triggers

• Infections - most commonly colds/flu from viruses, but also bacteria (sinus infections and/or pneumonia).
• Allergies - to dust, pollens (from grass, trees, and weeds), molds, animals, cockroaches for instance. Food allergies may trigger asthma.
• Exercise or active play - especially running more than 5 minutes.
• Night time - most asthma is worse at 4 a.m. and best at 4 p.m.
• Smoke - tobacco smoke (cigarettes, cigars), fireplace, wood burning stove, incense, and/or barbecue.
• Irritating Fumes/Chemicals - paints, perfumes, detergents, smog or anything with a strong odor may trigger asthma.
• Weather - Cold air and weather changes (changes in temperature and/or humidity).
• Stress/Emotions - emotions don’t cause asthma, but in susceptible people, they may trigger it.
• Acid Reflux (Heartburn) – Acid reflux from the stomach upward into the esophagus may trigger asthma symptoms.

Priming and Cleaning your Inhaler
Medication	Priming	Repriming	When to Reprime	# of puffs	Cleaning
ProAir (Albuterol)	3 puffs	3 puffs	2 weeks	200	Rinse plastic actuator with water weekly
Flovent (Fluticasone)	4 puffs	1 puffs	7 days/dropped	120	Qtip, No water
Qvar (Beclomethasone)	2 puffs	2 puffs	10 days	120	Wipe with tissue, No water
Dulera(Mometasone/Formeterol)	4 puffs	4 puffs	5 days	120	Wipe with dry cloth, No water