• Severity – Severe or Life threatening – think RESUS
• Treatment within 30 min – bronchodilators and steroids should bee given within 30min
• 1hrs Observation after Neb – better after a neb don’t just send home they may deteriorate when it wears off.
• PEFR – must be >75% expected prior to discharge (at least 1hr after treatment finished)
• Discharge advice sheet – can print off from this guide, remember to check inhaler technique and consider a spacer

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