Serial Assessments
The first assessment should occur within one hour of initiating therapy and then follow the hospital-based pathway that is consistent with current asthma guidelines and is based on the severity of the asthma exacerbation. See:

• GINA 2022 Box 4-4, Management of asthma exacerbations in an acute care facility, eg emergency department¹
• NAEPP 2007, Emergency Department and Hospital Management of Asthma Exacerbations² LINK.

References:
¹Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2022. Available from: www.ginasthma.org
²NAEPP 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group