More short of breath than usual

Increased cough, with or without increased mucus or sputum. 

Breathing interrupting your sentences

Wheezing more than usual

Using more muscle to help you breath - needing more effort to breathe

Agitation

Salbutamol (Respigen, Ventolin, or Salair) with spacer, up to 5 individual puffs

Prednisone 40mg for 5 days

Oral antibiotics (if evidence of infection) - usually 5 days worth of Amoxicillin or Doxycycline

Are your symptoms very severe?

Has you or your whanau noticed any confusion?

Is it a real struggle to manage at home?

Have you not responded to the treatment given by your GP?

Have you noticed worsening swelling of your feet?