•  Age greater than 18 (Age > 16 with parental consent OK)

•  Safe environment for disposition to home

•  Adequate follow up and social support anticipated at time of discharge

•  Clinical picture consistent with acute asthma exacerbation

•  Mild to Moderate Asthma Exacerbation

•  FEV1 < 70%  or PEF  > than 40%  (if checked)

•  Chest X-Ray – Normal / Baseline

• HR > 120, SpO2 on RA (or baseline O2) < 82%

• Already failed outpatient treatment with appropriate (1 mg / kg - up to 60 mg) doses of Prednisone

• Shock

• Change in mental status

• Impending respiratory failure

• Severe systemic illness

• Stable/normal vital signs

•  Minimal or no symptoms with ambulation

•  Pulse ox reading >  90% on RA or baseline O2 with ambulation as well as 1 hour after last neb treatment**

**If patient would qualify for oxygen but has refused in past or there is no way to provide oxygen due to social factors, no anticipated benefit from admission 

• Concerning vital signs or unresolved symptoms

•  Persistent need for oxygen above baseline to maintain sat > 89%**

•  New or alternative diagnosis for asthma needing hospitalization discovered