Pediatric Asthma Score

Respiratory Rate
1. Age 2 to 3 years
  1. Score 1: <=34 breaths/min
  2. Score 2: 35-39 breaths/min
  3. Score 3: >=40 breaths/min
2. Age 4 to 5 years
  1. Score 1: <=30 breaths/min
  2. Score 2: 31-35 breaths/min
  3. Score 3: >=36 breaths/min
3. Age 6 to 12 years
  1. Score 1: <=26 breaths/min
  2. Score 2: 27-30 breaths/min
  3. Score 3: >=31 breaths/min
4. Age >12 years
  1. Score 1: <=23 breaths/min
  2. Score 2: 24-27 breaths/min
  3. Score 3: >=28 breaths/min
Oxygen Requirement (O2 Sat)
1. Score 1: >95% on room air
2. Score 2: 90 to 95% on room air
3. Score 3: <90% on room air or Supplemental Oxygen
Auscultation
1. Score 1: Normal breath sounds (or end-Expiratory Wheezing only)
2. Score 2: Expiratory Wheezing
3. Score 3: Inspiratory and Expiratory Wheezing (or diminished breath sounds)
Retractions
1. Score 1: No retractions or intercostal retractions only
2. Score 2: Intercostal and substernal retractions
3. Score 3: Intercostal, Subcostal and Supraclavicular Retractions
Dyspnea
1. Score 1: Speaks in full sentences (or coos or babbles)
2. Score 2: Speaks in partial sentences (or short cries)
3. Score 3: Speaks in single words or short phrases (or grunts)

Total Score 5 to 7: Mild Asthma Exacerbation
1. Predicted Peak Flow: >70%
Total Score 8 to 11: Moderate Asthma Exacerbation
1. Predicted Peak Flow: 50 to 70%
Total Score 12 to 15: Severe Asthma Exacerbation (or Status Asthmaticus)
1. Predicted Peak Flow: <50%