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Clinical Investigations
Respiration 2012;84:406415
DOI: 10.1159/000338112Received: September 19, 2011,
Accepted after revision: February 27, 2012,
Published online: July 10, 2012An Asthma Action Plan
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How to fill out an asthma action plan

How to fill out an asthma action plan
01
To fill out an asthma action plan, follow these steps:
02
Obtain a blank asthma action plan form from your healthcare provider or download it from a reliable source.
03
Fill in your personal information, including your name, date of birth, and contact details.
04
Provide information about your healthcare provider, including their name, phone number, and address.
05
Include emergency contact information, such as the names and phone numbers of individuals who should be contacted in case of an asthma emergency.
06
In the 'Asthma Zones' section, identify the different zones based on your symptoms and peak flow readings. Commonly, the zones are labeled as green, yellow, and red.
07
Specify the actions to be taken in each zone. For example, in the green zone, which indicates good asthma control, specify the medications to be taken on a daily basis. In the yellow zone, which signals worsening asthma symptoms, outline the additional medications or dosage adjustments. In the red zone, which represents a medical emergency, describe the steps to seek immediate medical assistance.
08
Outline any special instructions or considerations that may be relevant to your asthma management, such as allergens to avoid or specific triggers.
09
Make multiple copies of the completed asthma action plan. Keep one with you at all times, give one to your healthcare provider, and provide additional copies to family members or caregivers.
10
Review the asthma action plan regularly with your healthcare provider to ensure it is up to date and reflects your current asthma management needs.
Who needs an asthma action plan?
01
Anyone who has been diagnosed with asthma can benefit from having an asthma action plan.
02
This includes:
03
- Children and adults with persistent or occasional asthma symptoms
04
- Individuals who have experienced asthma attacks in the past
05
- People who are at risk of severe asthma exacerbations
06
- Those who require daily asthma medications or use rescue inhalers frequently
07
- Individuals with a history of emergency room visits or hospitalizations due to asthma
08
- Athletes or individuals engaging in physical activities that may trigger asthma symptoms
09
- Individuals with known asthma triggers or allergies
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What is an asthma action plan?
An asthma action plan is a written document that outlines how to manage asthma on a day-to-day basis and what to do in case of worsening symptoms or an asthma attack.
Who is required to file an asthma action plan?
Anyone who has been diagnosed with asthma should have an asthma action plan, especially children, elderly individuals, and individuals with severe asthma.
How to fill out an asthma action plan?
An asthma action plan can be filled out with the help of a healthcare provider, who will tailor it to the individual's specific asthma triggers, symptoms, and medications.
What is the purpose of an asthma action plan?
The purpose of an asthma action plan is to help individuals manage their asthma effectively, recognize early signs of worsening symptoms, and know what steps to take in case of an asthma attack.
What information must be reported on an asthma action plan?
An asthma action plan should include the individual's personal information, emergency contact information, asthma triggers, symptoms, medications, and instructions on how to use medications or seek medical help.
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