Salbutamol nebulizer

You prescribe a salbutamol nebulizer and his father helps administer this. Jack is very unhappy about this and his cries loudly during the nebuliser.

You reassess him afterwards. He is not obviously better:

HR 145/min, RR 40/min, T 37.5 C, SaO₂ 91% in Oxygen

His chest findings are unchanged – mild recession and reduced air entry on the right side.

Jack is getting increasing unhappy at being in the department away from his normal environment, and his parents request that either he be discharged or that he is admitted.

Jack parents ask you what is going to happen next.

What is your plan now?