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Page 1 of 10Patient InformationAsthma Action Plan and Peak flow diary Introduction You have been given this booklet to help you manage your asthma. A peak flow diary is provided for you to record
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How to fill out asthma action plan and

01
Start by gathering all the necessary information and materials, including the asthma action plan template, a pen or pencil, and any relevant medical information.
02
Read through the asthma action plan template carefully to familiarize yourself with its sections and instructions.
03
Fill out the personal information section, including your name, date of birth, and contact information.
04
Consult with your healthcare provider to determine your asthma severity level and fill out the corresponding section on the action plan.
05
Follow the specific instructions provided by your healthcare provider to complete the medication section of the action plan. This may include listing your prescribed medications, their dosages, and when to take them.
06
Consider any specific triggers or warning signs that you should be aware of, and mark them appropriately on the action plan.
07
Ensure you understand the instructions for when to take your medications based on your symptom severity or triggers. This may involve color-coded zones or specific steps to follow.
08
Review the completed asthma action plan with your healthcare provider to make sure all the information is accurate and up to date.
09
Keep a copy of the filled-out asthma action plan easily accessible at all times, such as in your wallet, purse, or school bag.
10
Regularly update the asthma action plan as needed, especially if there are any changes in your symptoms, medication, or healthcare provider's recommendations.

Who needs asthma action plan and?

01
Asthma action plans are typically recommended for individuals who have been diagnosed with asthma. This includes both children and adults.
02
It is especially important for those with moderate to severe asthma or a history of severe attacks to have an asthma action plan in place.
03
Schools and childcare facilities often require children with asthma to have an action plan on file to ensure their safety and proper management of their condition while under supervision.
04
People who frequently experience asthma symptoms, require daily medications, or have specific triggers that can worsen their asthma should also have an asthma action plan.
05
In general, anyone with asthma can benefit from having an action plan as it provides clear instructions on how to manage asthma symptoms and when to seek medical help.
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A written plan that outlines how to manage asthma symptoms and the necessary steps to take in case of an asthma attack.
Individuals diagnosed with asthma, especially children, should have an asthma action plan in place.
Asthma action plans can be filled out by healthcare professionals in collaboration with the individual diagnosed with asthma.
The purpose of an asthma action plan is to provide guidance on managing asthma effectively and quickly in case of an emergency.
Asthma action plans typically include information on asthma triggers, medications, symptoms, peak flow readings, and emergency contact information.
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