Does she have an albuterol inhaler? Has she used it/did it not work? I am asthmatic, too, and if she’s having a severe attack, the bronchioles are inflamed, swelling, and filling with mucous, all of which make it increasingly hard to breathe. She can seem to be calming down/improving, but it’s really her body shutting down unless she starts feeling like she really can breathe deeply again—and SOON! This is a time you really do need the ER if she feels like she should go. Albuterol relaxes the bronchiole muscles, allowing the progression of the attack to start reversing itself. If it’s a terribly bad attack, she might need other meds, too. I say all this as someone who avoids meds and dr’s as much as possible, but…ya gotta breathe. They will most likely just focus on the asthma, honestly—I wouldn’t expect much other drama, especially if you guys present yourselves with calm confidence about what’s happening and her known history of asthma. She should probably always have an albuterol inhaler with her from here out. I almost never need mine anymore since I’ve improved my health so much overall the past several years, but when it’s needed, it’s needed NOW.