Treatment
Beta-agonists:
Short-course oral steroids
Albuterol 4 Puffs q4hr and reduce to 2 puffs q4hr. Can D/C patient if they are tolerating q4h albuterol.
Provide albuterol for home and school. Write an order on a script for the school nurse to keep albuterol at school.
**Ipratropium is only used in the ED. There is no evidence of benefit in asthma while children have been moved to the floor.

Important asthma pearls and links

Reference
Pollart SM, Compton RM, Elward KS: Management of acute asthma exacerbations. Am Fam Physician 2011;84(1):40-47.

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