If the child has had previous attacks, she likely has prescribed asthma medication, probably in the form of an inhaler. If so, administer that medication immediately in the case of an asthma attack. While inhalers are simple, you can still use them improperly and decrease their effectiveness.  To correctly use an inhaler:  Remove the cap and shake the inhaler hard. Prime the inhaler if necessary. If it's new or hasn't been used in a long time, release some of the medicine into the air before using it. Have the child exhale completely, then inhale as you administer one puff of medication. Ask the child to continue inhaling as slowly and as deeply as she can for 10 seconds. Always use a spacer or chamber, which helps the medicine go into the lungs instead of the back of the throat, when using an inhaler for children.  Ask your doctor about how to use it properly. The label will tell you if you have to wait before administering another dose. If using a β2-agonist such as albuterol, wait a full minute before giving the child another dose. If not a β2-agonist, you may not have to wait before giving a second dose. You should see results within minutes of using the inhaler.  If not, you may choose to give the child more medication. Use the individual dosing recommendation found on the inhaler's label or follow your physician's advice, which may include additional puffs right away. If symptoms don't get better with medication, you need to seek medical attention. Mild symptoms may include coughing, wheezing, or mildly increased work with breathing. Contact your pediatrician if the attack is mild, but symptoms don't improve with medication. The doctor may want to treat the child in the office or provide you with more specific instructions. "Silent chest" or blue lips and fingernails suggest the child isn't getting enough oxygen. A child with those symptoms needs immediate treatment to avoid the possibility of brain damage or death.  If you have asthma medication for the child, you can administer it on the way to the emergency room. But don't delay in taking the child to the emergency room. Delayed emergency treatment during a severe attack can cause permanent brain damage and even death. Call 911 immediately if your child has a blue color that does not go away with medication or that moves beyond just the lips or fingernails. Call 911 immediately if your child loses consciousness or is difficult to rouse. If your child's asthma was triggered by a food allergy, insect sting, or medication, call 911.  These types of reactions can progress quickly and lead to closed airways. The doctor will recognize the signs and symptoms of asthma.  Once the child arrives at the ER, medical staff will give her oxygen if needed and may administer more medication. If the asthma attack is severe, they may give the child corticosteroids through an IV.  Most patients will improve under expert care, and you'll be able to take them home soon. But, if the child doesn't improve within several hours, they may keep her in the hospital overnight. The doctor may perform a chest x-ray, pulse oximetry, or draw blood.
اجعل الطفل يتناول علاجه الخاص للأزمة. افحص ورقة الإرشادات المصاحبة للمستنشق قبل إعطاء الجرعة الثانية. تأكد من فعالية الدواء. اتصل بطبيب الأطفال في حال استمرار الأعراض. اذهب لغرفة الطوارئ في حال استمرار الأعراض المتقدمة. اتصل بالطوارئ في حال كان السبب وراء أزمات الربو هو تفاعلات الحساسية. تعرف على ما الذي ستقابله في غرفة الطوارئ.