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ASTHMA ACTION CARD Name Birthdate Teacher School Nurse Phone Fax Healthcare Provider treating student for Asthma Phone Preferred Hospital Personal Best Peak Flow Reading Green Zone: All Clear Breathing
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How to fill out asthma action card

How to Fill Out Asthma Action Card:
01
Start by gathering all necessary information: Before filling out an asthma action card, gather important information such as the individual's name, date of birth, emergency contact details, and any specific asthma triggers or medications.
02
Begin with personal details: Begin filling out the asthma action card by entering the individual's personal details, including their full name, date of birth, and any relevant contact information. This will ensure that the card is easily identifiable for medical professionals in case of an emergency.
03
Document emergency contact information: Include emergency contact details on the asthma action card, such as the name, phone number, and relationship of individuals to be contacted in case of an asthma attack or emergency situation. This information is crucial for quick and effective communication during urgent situations.
04
Specify asthma triggers: Identify and document any specific asthma triggers that may provoke an individual's symptoms or worsen their asthma condition. Common triggers include dust, pollen, pet dander, smoke, or certain foods. Noting these triggers on the action card will help healthcare providers better understand the individual's asthma triggers.
05
List current medications: Fill out the section on the asthma action card that requires information about the individual's current asthma medications. Include the name of the medication, dosage instructions, and any additional notes or precautions that may be relevant.
06
Provide emergency action plan: Describe the step-by-step emergency action plan on the asthma action card. This plan typically includes instructions for using rescue inhalers or other prescribed medications during an asthma attack, as well as guidance on when to seek medical assistance or call emergency services.
07
Keep the card up to date: Remember to regularly review and update the asthma action card as needed. Any changes in medication, contact information, or triggers should be promptly documented on the card.
Who Needs an Asthma Action Card:
01
Individuals with asthma: An asthma action card is primarily designed for individuals who have been diagnosed with asthma. It serves as a personalized guide to managing their condition and provides essential information for healthcare professionals in case of emergencies.
02
Caregivers and family members: Caregivers and family members of individuals with asthma may also benefit from having an asthma action card. It allows them to quickly understand the person's asthma triggers, emergency action plan, and contact information, enabling them to provide immediate assistance when needed.
03
Healthcare professionals: Asthma action cards are also valuable for healthcare professionals who may treat individuals with asthma. These cards provide a concise summary of the person's condition, medications, triggers, and emergency procedures, helping healthcare providers make informed decisions and provide appropriate care.
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What is asthma action card?
Asthma action card is a written plan that provides guidance on how to manage asthma symptoms and respond to asthma attacks.
Who is required to file asthma action card?
Individuals diagnosed with asthma and their healthcare providers are typically required to have and follow an asthma action card.
How to fill out asthma action card?
Asthma action cards are usually filled out by healthcare providers based on the individual's asthma triggers, symptoms, medications, and emergency contact information.
What is the purpose of asthma action card?
The purpose of asthma action card is to help individuals with asthma manage their condition, recognize early warning signs of an asthma attack, and know how to respond effectively.
What information must be reported on asthma action card?
Asthma action cards typically include information about asthma triggers, symptoms, medications, peak flow readings, and emergency contact information.
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