From: Emergency presentation and management of acute severe asthma in children
P0. | Normal; no signs of bronchopulmonal obstruction |
P1. | No dyspnoea. Slightly faint respiratory sounds. |
P2. | No dyspnoea. Moderate rhonchi. Slightly prolonged expiration. The expiration may be audible. |
P3. | No dyspnoea at rest. Abundant rhonchi. Slight use of auxiliary respiratory muscles. Low grade jugular recessions may be present. |
P4. | Slight dyspnoea at rest. Abundant rhonchi. Obvious use of auxiliary muscles. Jugular and intercostal recessions. No cyanosis |
P5. | Severe dyspnoe at rest. Abundant rhonchi. Wheezy expiration audible without stethoscope. Jugular, intercostal and subcostal chest recessions. Slight cyanosis may be present. |
P6. | Alarming obstruction., often both inspiratory and expiratory. Faint respiratory sounds. Chest recessions. Use of auxillary respiratory muscles and high respiratory rate. Cyanosis may be present but not mandatory. |