My Asthma Action Plan
Topic Overview
My name:__________________ | Doctor's name: ___________________ | Doctor's phone: _______________ |
Controller medicine | How much? | How often? | Other instructions |
---|---|---|---|
| | | |
| | | |
Quick-relief medicine | How much? | How often? | Other instructions |
---|---|---|---|
| | | |
| | | |
GREEN ZONE This is where I want to be! | YELLOW ZONE My asthma is getting worse. | RED ZONE Danger! |
---|---|---|
Symptoms
| Symptoms
| Symptoms
|
Peak flow (if I use a peak flow meter)
| Peak flow (if I use a peak flow meter)
| Peak flow (if I use a peak flow meter)
|
Actions
| Actions
| 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: February 24, 2020
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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Topic Overview - Top of the page
Current as of: February 24, 2020
Author: Healthwise Staff
Medical Review: E. Gregory Thompson, MD - Internal Medicine & Adam Husney, MD - Family Medicine & Rohit K. Katial, MD - Allergy and Immunology