Asthma Action Plan, for Children 6 Years or Older - AAP 2025

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Albuterol is the most commonly used quick-relief medicine for asthma. Levalbuterol (Xopenex) is another. Although these medicines work quickly, they cant keep your childs symptoms from coming back. If the symptoms are frequent or serious, a long-term control medicine such as an inhaled corticosteroid is needed.
English Transcript. Allergist Steve Dorman, MD: The Rule of Twos inside asthma is if somebody is well controlled per our guidelines. They use the rescue inhaler less than two times a week during the day, less than two times a month during the night, and they have no limitation during their physical activities.
Children with asthma often cough at night, in the early morning, after exercise, or when theyre excited or laughing. Another sign is if your child has had a cough for a long time and it wont go away. A wheeze is a whistling sound in your childs chest, usually when they breathe out.
Tell the operator that someone is having an asthma emergency. Keep giving the person 4 separate puffs, taking 4 breaths for each puff, every 4 minutes until emergency assistance arrives.
Inhaled corticosteroids. They are the most common long-term control medicines for asthma. They include fluticasone (Flovent HFA), budesonide (Pulmicort Flexhaler), beclomethasone (Qvar RediHaler), ciclesonide (Alvesco, Omnaris) and mometasone (Asmanex HFA).

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Asthma action plans include a list of the childs asthma medications taken, early warning signs for asthma symptoms, instructions on when to use the medicines and call your health care provider, and when to seek emergency care.
Daily inhaled corticosteroids are recommended as first-line for children with very mild asthma who are at higher risk for exacerbations. Assess a patients asthma management before prescribing systemic steroids. Significant adverse events are associated with as few as 4 short courses of systemic steroids in a lifetime.

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