Expert: Bailey - 10/12/2006

Question
Hi,
I am a school nurse and would like some expert advice on the subject of first aid. If a child or adult is having an astma attack, is it recommended that you give them sips of water or liquid?  I was taught years ago not to give any-thing by mouth during the attack.

Answer
Hi Terry,
 I would not recommend giving an individual any liquid during a bad asthma attack since their breathing is so abnormal and they may be less alert, there could be a choke hazard with that. Also, most asthmatics that are having a moderate/severe attack will not be able to or comfortable with taking any liquids or food. If an individual is having a real mild attack and is thirsty, then I don't think that sipping on water would cause any problems. My doctor suggested to me sipping on some warm tea at the start of a mild attack since the warmth and sometimes caffeine and theophylline in the tea can reduce the swelling in the airways of some people (and make it worse in others). Not very practical in a school setting, but there should not be any health or safety concerns as long as the individual is completely alert.
-Bailey