Call Your Doctor Now (night or day) If

• Your child looks or acts very sick
• Looks like he did when hospitalized before with asthma
• Difficulty breathing not resolved 20 minutes after neb or inhaler
• Peak flow rate lower than 50% of baseline level (personal best) (RED Zone)
• Peak flow rate 50-80% of baseline level after using neb or inhaler (YELLOW Zone)
• Wheezing (heard across the room) not resolved 20 minutes after using neb or inhaler
• Continuous (nonstop) coughing that keeps from playing or sleeping and not improved after using neb or inhaler
• Asthma medicine (neb or inhaler) is needed more frequently than every 4 hours
• Fever above 105° F (40.6° C)
• Severe chest pain