Get the free Asthma Action Plan - Cocalico School District

Health and Education Go HandinHandCocalico School District Health Services School Asthma Action Player children emergency card or health record indicates that he/she has asthma. Completion of the following

How to fill out asthma action plan

How to fill out asthma action plan

1. To fill out an asthma action plan, follow these steps:
2. Start with personal information: Write your name, date of birth, and emergency contact information at the top of the plan.
3. Write down your asthma triggers: Identify the things that can worsen your asthma symptoms, such as allergens, smoke, exercise, or stress.
4. Note down the symptoms of asthma: List the common signs of asthma flare-ups, such as coughing, wheezing, chest tightness, and shortness of breath.
5. Define your peak flow zones: Determine your personal best peak flow value and divide it into three zones (green, yellow, and red) to indicate your asthma control levels.
6. Specify medication instructions: Write down the names of your prescribed asthma medications, their dosages, and how often you should take them.
7. Outline the rescue plan: Describe the steps to follow if you experience asthma symptoms or an attack, including which medications to use and when to seek emergency medical help.
8. Include emergency contact information: Provide the phone numbers of your healthcare provider, nearest hospital, and a trusted contact person in case of an emergency.
9. Discuss and review with your healthcare provider: Share the filled-out asthma action plan with your healthcare provider, who can offer guidance, make adjustments, and ensure you understand the plan fully.
10. Keep the action plan accessible: Carry a copy of the asthma action plan with you at all times, and provide copies to relevant individuals such as family members, school nurses, or coaches.

Who needs asthma action plan?

1. Asthma action plans are beneficial for individuals with asthma of any age. They are particularly important for:
2. - Individuals with frequent or persistent asthma symptoms
3. - Those who have had an asthma attack or have been hospitalized due to asthma
4. - People with severe or uncontrolled asthma
5. - Children with asthma who attend school or daycare
6. - Athletes or individuals who engage in physical activities regularly
7. - Individuals who have allergies or known asthma triggers
8. - Those who use daily asthma medications
9. - Individuals who want to better manage their asthma and be prepared for emergencies

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What is asthma action plan?

An asthma action plan is a written guide that helps individuals manage their asthma symptoms and know what to do in case of an asthma attack.

Who is required to file asthma action plan?

Individuals diagnosed with asthma are required to have an asthma action plan.

How to fill out asthma action plan?

Asthma action plans can be filled out with the help of healthcare providers and should include information on medications, symptoms, triggers, and actions to take during an asthma attack.

What is the purpose of asthma action plan?

The purpose of an asthma action plan is to improve asthma management, reduce asthma attacks, and provide guidance on what to do in case of an emergency.

What information must be reported on asthma action plan?

Asthma action plans typically include information on medications, asthma triggers, symptoms, peak flow readings, and steps to take during an asthma attack.