Get the free My Asthma Plan

A plan for managing asthma, including medication details and symptom tracking across different zones.

How to fill out my asthma plan

How to fill out My Asthma Plan

1. Obtain a copy of My Asthma Plan from your healthcare provider or download it online.
2. Fill in your personal information including name, age, and contact information.
3. List your asthma triggers, such as allergens or environmental factors.
4. Indicate your daily asthma medications and their dosages.
5. Add emergency contact information and procedures for asthma attacks.
6. Review the plan with your healthcare provider for accuracy.
7. Keep a copy of the plan at home and share it with your school or workplace.

Who needs My Asthma Plan?

1. Individuals diagnosed with asthma, especially those experiencing symptoms.
2. Parents or guardians of children with asthma to manage their child's condition.
3. Caregivers who assist individuals with asthma for better understanding of their management plan.
4. School staff and teachers to ensure they can support students with asthma appropriately.
5. Anyone involved in emergency response to be prepared for asthma-related situations.

People Also Ask about

How do you write an asthma plan?

Your asthma action plan will include your medicines and instructions for what to do when you are feeling well, what to do when you have asthma symptoms and what to do when your asthma symptoms are getting worse. It should include the names of your medicines, how much to take and when to take it.

What does 4x4x4 mean in an asthma plan?

The 4x4x4 method is a simple but effective approach to managing asthma symptoms during an attack. It involves giving 4 puffs of Ventolin, the casualty talking 4 breaths after each puff and waiting 4 minutes. The goal of this technique is to regulate breathing and alleviate the symptoms of an asthma episode.

What is a good asthma plan?

An asthma action plan is a written treatment plan that describes the following: How to identify allergens or triggers to avoid. How to know if you are having an asthma attack and what to do. Which medicines to take and when to take them.

What is the rule of 6 for asthma?

Treat with 6 puffs of the blue 'reliever' inhaler. Use a spacer, if available, for aerosol inhalers. (One puff at a time in the spacer, person to take 6 breaths each puff.) If not improving after 6 minutes, call the ambulance.

What is the 4 4 4 asthma plan?

Tell the operator that someone is having an asthma emergency. Keep giving the person 4 separate puffs, taking 4 breaths for each puff, every 4 minutes until emergency assistance arrives.

What is the 2 2 2 rule for asthma?

English Transcript. Allergist Steve Dorman, MD: The “Rule of Twos” inside asthma is if somebody is well controlled per our guidelines. They use the rescue inhaler less than two times a week during the day, less than two times a month during the night, and they have no limitation during their physical activities.

What is a personal asthma plan?

Your action plan is a personal guide to help you stay on top of your asthma. Once you have created one with your GP or asthma nurse, it can help you stay as well as possible. People who use their action plans are four times less likely to end up in hospital because of their asthma.

How do you do the 4 4 4 method for asthma?

Tell the operator that someone is having an asthma emergency. Keep giving the person 4 separate puffs, taking 4 breaths for each puff, every 4 minutes until emergency assistance arrives.

For pdfFiller’s FAQs

What is My Asthma Plan?

My Asthma Plan is a personalized plan designed to help individuals manage their asthma effectively, outlining steps to prevent and control asthma symptoms.

Who is required to file My Asthma Plan?

Individuals diagnosed with asthma, along with their healthcare providers, are required to fill out My Asthma Plan.

How to fill out My Asthma Plan?

To fill out My Asthma Plan, individuals should work with their healthcare provider to provide information about their asthma triggers, medication regimen, and emergency contact details.

What is the purpose of My Asthma Plan?

The purpose of My Asthma Plan is to provide a clear strategy for managing asthma to minimize symptoms and prevent asthma attacks.

What information must be reported on My Asthma Plan?

The information that must be reported on My Asthma Plan includes personal details, asthma triggers, daily medications, instructions for handling symptoms, and emergency contacts.