Study institution’s PEWS Study institution’s PEWS. Please note: Patients with asthma on continuous albuterol nebulizers will automatically be a 3 due to respiratory status; please use clinical judgment and make sure the patient is meeting the criteria for not just tachycardia when ... Study institution’s PEWS. Please note: Patients with asthma on continuous albuterol nebulizers will automatically be a 3 due to respiratory status; please use clinical judgment and make sure the patient is meeting the criteria for not just tachycardia when rating the cardiovascular system. Jennifer Reese et al. Hospital Pediatrics 2015;5:27-34 ©2015 by American Academy of Pediatrics