Asthma requiring repeated treatments but improving
Bronchiolitis borderline oxygen need
Discharge criteria
SpO2 stable on room air at rest
Minimal work of breathing
Able to feed or drink adequately
Caregiver understands return precautions
Follow up arranged
Discharge Instructions
Copy discharge instructions
Breathing problem summary
Today your child was treated for trouble breathing
Breathing is now stable enough for home care
Home care plan
Encourage fluids in small frequent amounts
Use nasal saline and gentle suction if congested
Avoid smoke exposure
Medications if prescribed
Use inhaler with spacer as directed
Steroid dose as prescribed
Antibiotic course if prescribed
Follow up timing
Primary care follow up within 24 to 48 hours
Earlier follow up if symptoms worsen
Return to emergency now for
Hard breathing
Blue lips or face
Pauses in breathing
Very sleepy or hard to wake
Unable to drink
Fewer wet diapers
Stridor at rest
Drooling or trouble swallowing
References
Guidelines and key sources
Evidence based references
American Academy of Pediatrics bronchiolitis guideline 2014 reaffirmed
GINA global strategy for asthma management and prevention 2025
National Asthma Education and Prevention Program focused updates 2020
American Academy of Pediatrics croup clinical guidance updates local protocol dependent
Surviving Sepsis Campaign international guidelines for management of septic shock and sepsis associated organ dysfunction in children 2020
World Allergy Organization anaphylaxis guidance 2020
Project instructions source
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.