I think doses/puffs can be confusing as it depends on what strength we are discussing Ventolin /Salbutamol (blue inhaler).
I take a 200 microgram Salbutamol turbohaler.
Even having asthma in the family it took me 4 years from my first asthma attack at 15 until I was finally diagnosed at 19.
I have been lucky and never hospitalised when having an attack. I find staying calm and increasing my blue inhaler a life life.
Thankfully I haven't had many attacks when my health is ok but the scariest attacks happen when I have infections. I take serevent or seretide (fluticasone with Salmeterol - purple inhaler) my preventer twice a day. I ensure take blue inhaler 4 times a day more if needed. Paracetamol for pain from coughing and I have on repeat prescription rescue steroid tablets prednisolone (8 x 5mg tablets a day for 5 days).
It's scary when I have an infection as I live alone. In UK we have 111 service who can give out of hours advice and send a GP to your home if you are not well enough to drive go out. I rather call them than use the emergency services. I was ill with chest and sinus infection from 27/12/17 to 26/1/18 despite 12 days on steroid tablets and that's when put on my repeat I can take 5days before see Dr.
Had 3 sinus and ear infections this year and a respiratory staph aureus infection.
Been bringing up more phlegm for a few weeks now so increased reliever use. Then wed last week sore throat, Thurs started coughing blood in phlegm, Friday tickly cough, Saturday very wet phlegm cough, Sunday blocked nose and sneezing. Knew was seeing GP Monday night so when had bloods done Thurs asked nurse for test pot for phlegm because was bringing blood up. By Monday pot was full Dr gave me prednisolone and sent sputum sample of so if it comes back bacterial will end up getting antibiotics if viral will just have to put up with it and see how prednisolone goes.
Today was OK while sitting thi K tired of coughing when move talk I wheeze bad and struggle. My voice has been bad since Friday.
Even GP not given me definitive how much blue inhaler.
So I go by the attack 10 puffs wait 15mins take 10more puffs.
Rest of time probably don't use blue inhaler properly. I don't always notice I need it friends tell me so as I also have sleep apnoea as a precaution I take blue going to bed and getting up with my preventer inhaler and monteleukast.
I think having had asthma for 32 years and diagnosed properly for 28 years I have gotten used to it.