Discharge and
Follow-up

• When to discharge, normal respiratory rate, normal pulse for age, able to feed, can talk comfortably, play, and fully conscious.
• Discharge on treatment with a written Action Plan for asthma exacerbation.
• Exacerbations often represent failures in chronic asthma care, so take the opportunity to review the patient’s chronic asthma management.
• Asthma education, emphasize treatment and appropriate inhaler technique.
• Plan follow up soon, within 1-2 weeks.

• The patient’s understanding of the cause of the flare-up.
• Evaluate triggers, e.g. smoke, dust exposure, and other triggers.
• Adherence with medications, and understanding of their purpose.
• Inhaler technique skills.
• Written asthma action plan.