What to Do if You Have an Asthma Attack But Don’t Have an Inhaler

1. Call 911

2. Sit up straight

Sitting upright can help keep your airways open. Be sure to avoid lying down while you’re having an asthma attack, as this can make symptoms worse.

3. Remain calm

Try to remain as calm as you can while you’re having an asthma attack. Panic and stress can worsen your symptoms.

While you wait for your symptoms to subside or for medical attention to arrive, it may be helpful to turn on the TV or play some music to help keep yourself calm.

4. Steady your breathing

Try to take slow, steady breaths during an attack.

Additionally, some breathing exercises may also help reduce asthma symptoms. Some examples include:

• the Buteyko breathing technique involves breathing slowly through your nose as opposed to your mouth
• the Papworth method involves using your diaphragm and nose to breathe in a particular way
• diaphragmatic breathing focuses on breathing from the region around your diaphragm as opposed to from your chest
• yoga breathing techniques, also called pranayama, involve controlling the duration and timing of each breath

A 2020 publication reviewed 22 studies of breathing exercises that included 2,880 participants with mild to moderate asthma. The reviewers found that breathing exercises had some positive effects on hyperventilation symptoms, although additional research is needed.

5. Move away from triggers

The presence of asthma triggers won’t only cause an attack — they can also make your symptoms worse. Be sure to try to get away from things that may be triggering your asthma attack.

For example, if you’re in an area where people are smoking cigarettes, you should move away promptly.

It’s also important to know your triggers. Common triggers include:

• allergens, like pet dander, pollen, or certain foods
• exercise
• irritants, like tobacco smoke or pollution
• stress or anxiety
• some medications, like aspirin, ibuprofen, or beta-blockers
• respiratory infections, like the common cold, the flu, or mycoplasma
• breathing in cold, dry air

Asthma attack symptoms

Symptoms that indicate that you could be experiencing an asthma attack include:

• severe shortness of breath
• tightness or pain in your chest
• coughing or wheezing
• fast heart rate
• lower than normal peak flow score, if you use a peak flow meter

Preventing an asthma attack

The best way to prevent having an asthma attack is to make sure that your asthma is under control. People with asthma typically use two types of medication:

• Long-term: This involves medication that you take every day to control airway inflammation and prevent asthma attacks. These medications can include inhaled corticosteroids, leukotriene modifiers, and long-acting bronchodilators.
• Quick-relief: This is a rescue medication that you take for short-term relief of asthma symptoms. These medications are referred to as short-acting bronchodilators and work to open your airways.

You should also work with your doctor to develop a personalized asthma action plan. This can help you to better understand and control your asthma. An asthma action plan includes:

• your asthma triggers and how to avoid them
• how and when to take your medications, both for symptom control and for quick relief
• indicators of when you’re managing your asthma well and when you need to seek emergency medical attention

Your family and those close to you should have a copy of your asthma action plan so that they’ll know what to do if you have an asthma attack. Additionally, it may be helpful to keep it on your phone in case you need to reference it quickly.

Frequently asked questions

How do I open my airways?

If you have asthma, the best way to keep your airways open is to use your asthma medications as directed by your doctor. These medications can open your airways using a variety of mechanisms, including relaxing airway muscles or reducing inflammation.

Long-term control medications can help prevent the airways from narrowing and leading to asthma symptoms. When asthma symptoms do occur, quick-relief medications like your rescue inhaler can help to quickly open your airways.

In addition to using your asthma medications as directed, practicing breathing exercises or trying steam inhalation may also help open your airways.

What’s the best body position for an asthma attack?

Generally speaking, sitting up straight is the best position for an asthma attack. This is because sitting up allows air to enter your lungs while bending over or lying down may constrict your breathing.

A 2018 study investigated the effect of body positioning on the lung function of healthy people and those with certain health conditions. In people with lung diseases like asthma, lung function was found to be higher in more erect positions.

What do you do if you’re having an attack and you have your inhaler?

We’ve previously discussed what to do if you’re having an asthma attack without your inhaler. Now, let’s talk about what to do if you do have your inhaler.

If you’re having an asthma attack, you may take the following steps:

1. Adjust your posture so that you’re sitting upright. Try to stay calm, taking slow, steady breaths.
2. Take a dose of your rescue inhaler (usually albuterol which is also called salbutamol in some parts of the world). You may be prescribed one or two puffs, 60 seconds apart, every 4 to 6 hours, but according to the National Health Services (NHS), you may take up to 10 puffs in an asthma emergency (attack) situation. You should wait at least 10 seconds and shake your inhaler between puffs.
3. Call 911 if you begin to feel worse or don’t start to feel better, despite using your rescue inhaler.
4. If you do not feel better and help has not arrived after 15 minutes, NHS recommends that you repeat Step 2, taking one puff from your rescue inhaler every 30 to 60 seconds Be careful not to take more than 10 puffs. You can take too much of your rescue inhaler medication.

It’s also important to see your doctor after an asthma attack, even if you feel better. It’s possible that your asthma medications or asthma action plan may need to be adjusted. This can help to reduce your chances of having another asthma attack in the future.

Takeaway

If you’re having an asthma attack and don’t have your rescue inhaler on hand, you can do several things, like sitting upright, staying calm, and steadying your breathing.

It’s important to remember that asthma attacks can be very serious and require emergency medical attention. If you’re experiencing the symptoms of a serious asthma attack, like severe shortness of breath, severe wheezing, or difficulty speaking, you should call 911.