No one should smoke in your house. This includes you, your visitors, your child’s babysitters, and anyone else who comes to your house.
Smokers should smoke outside and wear a coat. The coat will keep smoke particles from sticking to clothes, so it should be left outside or away from the child.
Ask people who work at your child's day care, preschool, school, and anyone else who takes care of your child, if they smoke. If they do, make sure they smoke away from your child.
School and asthma
Children with asthma need a lot of support at school. They may need help from school staff to keep their asthma under control and to be able to do school activities.
There should be an asthma action plan at school. The people who should have a copy of the plan include:
Your child's teacher
The school nurse
The school office
Gym teachers and coaches
Your child should be able to take asthma medicines at school when needed.
School staff should know your child's asthma triggers. Your child should be able to go to another location to get away from asthma triggers, if needed.
When to call the doctor
Call your child's doctor or nurse if your child is having any of the following:
Hard time breathing
Chest muscles are pulling in with each breath
Breathing faster than 50 to 60 breaths per minute (when not crying)
Making a grunting noise
Sitting with shoulders hunched over
Skin, nails, gums, lips, or area around the eyes is bluish or grayish
Not moving around very much
Limp or floppy body
Nostrils are flaring out when breathing
Also call the doctor if your child:
Loses his or her appetite
Has trouble sleeping
Liu AH, Covar RA, Spahn JD, Leung DYM. Childhood asthma. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 138.
National Asthma Education and Prevention Program Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Rockville, Md. National Heart, Lung, and Blood Institute, US Dept of Health and Human Services; 2007. NIH publications 08-4051. www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm. Accessed May 14, 2014.
Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.