I am feeling utterly out of my depth here. My 11 yo has had a recent exascerbation. She's had a five day course of 30mg of pred and is taking 2 ventolin, 4 clenil and 2 serevent morning and evening. We are also about half way through a course of amoxycillin though she's not had a chest infection the doctor thought it worth taking anyway. I suspect he didn't know what else to do!
Anyway, her peak flows are coming up back to around normal (340-ish) and she's not needing ventolin during the day now so we are seeing an improvement. But she still says her chest feels ""wrong"" and ""gunky"" so I'm guessing there is still a bit of inflammation there. Her flare up began with a cold and now she's caught a second cold so I know she's not going to be perfect:~/
However, the last 3 nights she's needed her ventolin for a tight chest within a half hour or so of getting into bed. She usually takes two puffs, it settles and we all go off to sleep. Last night the two puffs didn't work. Nor did the two after that. We went through a constant cycle of taking two or three puffs of ventolin for a tight chest. She would feel some relief and it would settle for maybe 10 or 15 minutes and then start all over again. We went on like this until about 1.30 in the morning and, in our experience so far, she can usually be quite rough in the day but fine through the night. Sometimes it would take up to five puffs to get her chest to feel ok again but it just kept tightening back up.
I know that the 'rule' is that if the ventolin isn't helping then you should call for an ambulance but this was just an uncomfortable tightness and it was relieved by the ventolin. Just never for very long. But even while it was uncomfortable for her she was still able to talk so it didn't feel that serious. Now I'm wondering whether I'd have been better to bite the bullet and call for help? Could they have done anything even if I had?
We are back at the doctors for a review on Monday but I I suspect they'll just tell us to keep going with the increased clenil and give venolin as needed.
Speaking as a mother, I feel totally out of control of the situation now. Was that an asthma attack last night? Should I have called for help? If it happens again I'm going to call 999. That much I can say with complete certainty. I'm fed up of us treading water with this and never getting anywhere.