Sit upright and try to stay calm
Use your rescue inhaler (short-acting bronchodilator) as prescribed
If you have a spacer, attach it to the inhaler and use it with the correct technique
If you were instructed to use a nebulizer, use it with your prescribed medication
If you have an epinephrine auto-injector prescribed for severe allergic reactions, use it immediately if you have signs of anaphylaxis
Stop exposure to the trigger (smoke, dust, strong odors, cold air, pets, pollen)
Move to fresh air if possible
Loosen tight clothing around the neck and chest
Use warm steam or a warm shower only if it helps you breathe comfortably
Drink sips of warm water if you can swallow comfortably
Recheck your breathing after using the rescue medication; repeat only as directed on your action plan or label
Call emergency services now if any of the following occur: severe trouble breathing, cannot speak full sentences, lips or face turning blue/gray, worsening wheezing despite rescue inhaler, chest pulling in, severe drowsiness/confusion, or no improvement within minutes
Seek urgent care the same day if wheezing persists, keeps returning, or you need the rescue inhaler more than usual
Do not use someone else’s inhaler
Do not delay emergency help if symptoms are severe or rapidly worsening