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Asthma Action Plan for Children age 618 Names: Date: Practitioner: Contact #: GREEN ZONE GOOD Controlled Asthma can sleep through the night don't need regular reliever medicine am not missing school
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How to fill out asthma action plan for

How to fill out asthma action plan for
01
Start by gathering all necessary information. This includes the name and contact information of the person with asthma, their healthcare provider's name and contact information, and a current list of their prescribed medications.
02
Review the asthma action plan template provided by the healthcare provider. The template will typically include sections for personal information, emergency contact information, a list of triggers and symptoms, a list of medications and instructions on how to use them, and steps to take during an asthma attack.
03
Fill in the personal information section with the name, date of birth, and any relevant medical history of the person with asthma.
04
Make sure to accurately list emergency contact information, including the names, phone numbers, and relationships of the designated emergency contacts.
05
In the triggers and symptoms section, identify common triggers that may worsen asthma symptoms for the individual. This can include allergens, exercise, cold air, smoke, or certain medications. Also, describe the typical symptoms experienced during an asthma episode, such as coughing, wheezing, shortness of breath, or chest tightness.
06
List all prescribed medications in the designated section of the action plan. Include the medication name, dosage, frequency, and any specific instructions for use, such as using a spacer device or nebulizer.
07
Follow the steps provided by the healthcare provider for managing an asthma attack. This can include using a rescue inhaler, taking additional prescribed medications, seeking medical help if symptoms worsen, or using a peak flow meter to monitor lung function.
08
Once all sections are filled out, review the completed asthma action plan. Make sure all information is accurate and up to date.
09
Keep copies of the asthma action plan in easily accessible locations, such as at home, school, or work. Provide a copy to the person's healthcare provider, emergency contacts, and any other relevant individuals.
10
Regularly review and update the asthma action plan as needed. This may include revising medication dosages, adding or removing triggers, or updating emergency contact information.
Who needs asthma action plan for?
01
Anyone who has been diagnosed with asthma can benefit from having an asthma action plan.
02
This includes both children and adults.
03
Asthma action plans are especially important for individuals with moderate to severe asthma or those who have a history of frequent asthma attacks.
04
It is also recommended for individuals who have recently been diagnosed with asthma, as it provides guidance on managing symptoms and preventing asthma attacks.
05
Schools, childcare centers, and workplaces may also require individuals with asthma to have an asthma action plan on file for emergency purposes.
06
Overall, having an asthma action plan helps individuals take proactive steps in managing their asthma, reduces the risk of severe asthma attacks, and improves overall quality of life.
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What is asthma action plan for?
Asthma action plan is designed to help people manage their asthma symptoms, including recognizing warning signs and knowing what medications to take.
Who is required to file asthma action plan for?
People with asthma, especially those with moderate to severe asthma, are required to have an asthma action plan.
How to fill out asthma action plan for?
To fill out an asthma action plan, individuals should work with their healthcare provider to customize a plan based on their specific symptoms and triggers.
What is the purpose of asthma action plan for?
The purpose of asthma action plan is to empower individuals to manage their asthma effectively and improve their quality of life.
What information must be reported on asthma action plan for?
Asthma action plan must include information on daily medications, emergency medications, symptoms to watch for, and what to do in case of an asthma attack.
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