Asthma Practice Pathway

MD/CRNP/RN/RT Respiratory Assessment

Critical Moderate Mild
  • Significant work of breathing, accessory muscle use, and nasal flaring
  • Respiratory rate and heart rate increased
  • Wheezing: inspiratory and/or expiratory
  • Aeration: decreased throughout lung fields
  • Prolonged expiration present
  • Cough: weak or absent
  • FIO2 > 40%
  • Less work of breathing, accessory muscle use, and nasal flaring
  • Respiratory rate and heart rate lower
  • Wheezing: inspiratory and expiratory
  • Aeration: decreased in lower lung fields
  • No prolonged expiration
  • Cough: loose and productive
  • FIO2 21%-40%
  • Work of breathing, minimal or none
  • Respiratory rate and heart rate normal for age
  • Wheezing: minimal to none
  • Aeration: increased throughout all lung fields
  • No prolonged expiration
  • Cough: full loose and productive
  • FIO2 21%