Call Your Doctor Now (night or day) If

• You feel weak or very sick
• Feel like you did when hospitalized before with asthma
• Difficulty breathing not gone within 20 minutes after neb or inhaler
• Peak flow rate less than 50% of baseline level (personal best)
• Peak flow rate 50-80% of baseline level after using neb or inhaler
• Wheezing (heard across the room) not gone within 20 minutes after using neb or inhaler
• Continuous (nonstop) coughing that prevents work or sleep and does not improve after using neb or inhaler
• Asthma medicine (neb or inhaler) is needed more frequently than every 4 hours
• Fever of 103° F (39.4° C) or higher
• Fever of 100.5° F (38.1° C) or higher and you:

  • Are over 60 years of age OR
  • Have diabetes mellitus or a weakened immune system (e.g., HIV positive, cancer chemotherapy, chronic steroid treatment, splenectomy) OR
  • Are bedridden (e.g., nursing home patient, stroke, chronic illness, recovering from surgery)
• Severe wheezing or coughing and you don't have neb or inhaler available (e.g., ran-out, lost)