Recently admitted from ED, history of asthma. Admitted with pneumonia. On initial assessment, in respiratory distress. Starts to deteriorate from a respiratory standpoint. Antibiotics already started in ED, need to call POC/RT for increasing BPEWS score. POC and RT in ED with a sick child will be up soon. O2 needs increase, orders received to increase the frequency of assessment, back to back Ventolin and start mag sulphate considerations for thorough respiratory assessment, proper Ventolin administration, MgSO4 administration using Alaris pump, what to watch for with magnesium sulphate re: hypotension. The condition starts to worsen, physician and RT arrive. Plan for intubation, the scenario ends once nurses prepare RSI medications using a medication calculator.