My Asthma Action Plan
Overview
My name:__________________ |
Doctor's name: ___________________ |
Doctor's phone: _______________ |
Controller medicine |
How much? |
How often? |
Other instructions |
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Quick-relief medicine |
How much? |
How often? |
Other instructions |
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GREEN ZONE This is where I want to be! |
YELLOW ZONE My asthma is getting worse. |
RED ZONE Danger! |
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Symptoms
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Symptoms
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Symptoms
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Peak flow (if I use a peak flow meter)
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Peak flow (if I use a peak flow meter)
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Peak flow (if I use a peak flow meter)
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Actions
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Actions
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Actions
EMERGENCY: If it's hard to walk or talk because of shortness of breath or if my lips or fingertips are blue, I need to CALL 911 or go to the hospital for help right away. |
Credits
Current as of: November 14, 2022
Author: Healthwise Staff
Medical Review:
E. Gregory Thompson MD - Internal Medicine
Adam Husney MD - Family Medicine
Rohit K Katial MD - Allergy and Immunology
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Credits
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Overview - Top of the page
Current as of: November 14, 2022
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Rohit K Katial MD - Allergy and Immunology