Your doctor may have given you a written "Asthma Action Plan" with directions for treating mild, moderate and severe flare-ups. (A sample "Asthma Action Plan" appears at the end of this handout.) If you don't have an action plan, ask your doctor for written directions about treating asthma flare-ups. If you have the symptoms of a serious flare-up or if your PEF is less than 50 percent of your personal best, call your doctor right away or go directly to the nearest hospital emergency room (by ambulance, if necessary).
Asthma Action Plan
Name ______________________________ Date __________________
To manage your asthma, you need to keep track of your symptoms, your medicine use and your peak expiratory flow (PEF). Using your PEF as a guide, here are some tips for treating your asthma symptoms:
•Green means Go--you're feeling OK. Just keep using your preventive (anti-inflammatory) medicine.
•Yellow means Be Careful--you're having some symptoms. It's time to use your quick-relief
(short-acting bronchodilator) medicine, in addition to the preventive medicine.
•Red means STOP--Your symptoms are serious. You need to get help from a doctor!
Your green zone is _________ , which is 80 to 100 percent of your personal best peak flow.
Go! Breathing is good, with no cough, wheezing or chest tightness.
•Keep taking your usual daily medicines.
Your yellow zone is __________, which is 50 to 80 percent of your best peak flow. Be careful! You may have symptoms like coughing, wheezing or chest tightness. Your peak flow level has dropped, or you notice that you need to use quick-relief medicine more often, or you have more asthma symptoms in the morning, or asthma symptoms are waking you up at night.
•Take ______ puffs of _________________________ (your quick-relief medicine). Repeat this dose every 20 minutes, up to ____ more times. Use ____ puffs regularly every four to six hours for the next two days.
•Take ______ puffs of ___________________ (your anti-inflammatory medicine) ______ times per day.
•Start taking oral steroid medicines (or increase your dose): ________________ in a dose of ____ mg every a.m. ____ p.m. _____.
•Call your doctor or a hospital emergency room for advice today.
Your red zone is ___________, which is 50 percent or less of your best peak flow. Danger! Your peak flow number is very low, or you continue to feel worse after taking more medicines according to the directions for the yellow zone.
•Take ______ puffs of your quick-relief medicine. Repeat this dose every 20 minutes, up to ____ more times.
•Start taking an oral steroid medicine (or increase the dose). Take _______ mg right now.
•Call your doctor now! If you can't reach your doctor, go to a hospital emergency room.
Call your doctor at any time if you have any of the following problems:
•Your asthma symptoms get worse even though you're taking oral steroids
•Inhaled quick-relief medicine isn't helping you for as long as four hours
•Your PEF stays at 50 percent of your personal best (or gets even lower) even though you're using your action plan.
Important telephone numbers:
•Doctor's office _____________________________
•Doctor after hours _________________________
•Hospital emergency room __________________
| Pounds lost: 9.6