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Reducing plan for salbutamol (blue) inhaler with Spacer and for using oral prednisolone 

Day  Date (dd/mm/yy No of puffs of salbutamol Frequency Predisolone (5mg/tablet
1     Every 4 hours                 mg
2     Every 6 hours                 mg  
3     Every 8 - 12 hours                 mg
4     As Needed  
5 and after     As Needed  

What to do if your child becomes unwell again:

Green zone - No concerns

  • No symptoms
  • Sleeping and feeling well

Use preventer inhalers (brown/purple inhalers) and other regular medicines as prescribed. Use Salbutamol up to 2 - 4 puffs as needed and before exercise.

 

Amber zone - be alert and beware!

  • Night-time cough
  • Wheezy on exercise
  • increased work of breathing
  • older child complains of tightness of chest

Continue preventer inhalers and other regular meds as prescribed. Increased salbutamol up to 5 puffs every 4 hours

if not improving, go to GP, OOH Clinic or call 111

Red zone - emergency

  • Severe difficulty in breathing
  • Lips or fingernails turning blueish
  • Inability to talk more than a word at a time
  • Severe distress

Call an ambulance immediately. Give 5-10 puffs of the salbutamol inhaler immediately as you wait for the ambulance.

For more information, please visit www.asthma.org.uk
Check out www.nhs.uk or www.nice.org.uk for guidance on bronchiolitis/childhood asthma
Your Consultant for this episode is Dr .............................................................................................
Your named Consultant is Dr .............................................................................................
Contact 01253 953778 if your child/ward has any problems or if you need advice. this service is always available 24 hours a day, 7 days a week, 365 days of the year.