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Long desc: Asthma/Wheezing/Difficulty Breathing flowchart

1. A student with asthma/wheezing may have breathing difficulties which include:
   • wheezing - high-pitched sound during breathing out;
   • rapid breathing;
   • flaring (widening) of nostrils;
   • increased use of stomach and chest muscles during breathing;
   • tightness in chest; and/or
   • excessive coughing.
2. If available, refer to student’s health or emergency care plan.
3. Does student have guardian-approved medication?
   1. If yes, Administer medication as directed.
   2. If no, then...
      1. Encourage the student to sit quietly, breathe slowly and deeply in through the nose and out through the mouth.
      2. Did breathing difficulty develop rapidly? Are the lips, tongue, or nail beds turning blue? Are symptoms not improving or getting worse?
         1. If yes, CALL EMERGENCY MEDICAL SERVICES 911.
         2. If no, Contact responsible school authority and parent/legal guardian.

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