The following can be given to your babysitter.
_____________________ has asthma. Normally, he/she is able to do all the activities that other children his/her age are able to do. However, please be aware that an asthma attack may occur.
This sheet is a list of what to look for and what to do in case ______________________ has an asthma attack.
Signs and Symptoms that asthma has been triggered:
- COUGHING — Especially if it is persistent
- WHEEZING — A high-pitched musical sound
- RAPID BREATHING — More than ______ per minute
- DIFFICULT OR IRREGULAR BREATHING
- ANXIOUS OR SCARED EXPRESSION
- HUNCHED OVER BODY POSITION — Shoulders coming up toward the ears
- RETRACTING — A sucking in at the base of the neck or between the ribs with each breath.
If these symptoms appear, please do the following:
- Be calm
- Have ___________________________ sit down
- Try to get him/her to slow his/her breathing down
- Get a glass of tap water, not too cold
- Get ___________________________to sip the water.
If these measures do not stop the coughing, wheezing, or irregular breathing within five to ten minutes, or if the symptoms worsen, then follow these steps:
We are available at:
In the unusual event that we are not available and the symptoms are not coming under control within 30 minutes, or are getting worse:
| Call Dr. | at: |
The following medications are to be given at the times indicated in the amounts indicated:
- ____________ at ___________AM/PM
- ____________ at ___________AM/PM
- ____________ at ___________AM/PM
- ____________ at ___________AM/PM