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Asthma Action Plan Asthma Type: Mild Intermittent Moderate Persistent Mild Persistent Severe Persistent Allergies/Triggers: Cigarette Smoke Exercise Molds Cold Air Smoke Colds Animals Grass Trees
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How to fill out asthma action plan

How to fill out asthma action plan:
01
Speak with your healthcare provider: The first step in filling out an asthma action plan is to consult with your healthcare provider. They will provide you with the necessary resources and information to complete the plan accurately.
02
Understand the sections: An asthma action plan typically consists of three sections – green zone, yellow zone, and red zone. Each section corresponds to different asthma symptoms and levels of control. Familiarize yourself with these sections to better understand how the plan works.
03
Complete the green zone: The green zone is the section for when your asthma is under control. It indicates that your symptoms are minimal and you are able to engage in normal activities. Follow the instructions provided by your healthcare provider to fill out this section accurately.
04
Fill out the yellow zone: The yellow zone is the section for when your asthma symptoms start to worsen. Your healthcare provider will provide specific instructions on how to manage symptoms in this zone. Make sure to include any medications or actions that need to be taken during this phase.
05
Complete the red zone: The red zone is the emergency section of the asthma action plan. It is for severe asthma symptoms that require immediate medical attention. Include emergency contact information, specific medications, and any other instructions provided by your healthcare provider.
Who needs an asthma action plan:
01
Individuals diagnosed with asthma: Anyone who has been diagnosed with asthma should have an asthma action plan. This plan helps individuals manage their asthma symptoms effectively and provides clear instructions on what to do in case of an asthma attack.
02
Parents of children with asthma: If your child has been diagnosed with asthma, it is important for parents or caregivers to have an asthma action plan in place. This ensures that everyone involved in the child's care is aware of the appropriate steps to take during different phases of asthma control.
03
School staff and caregivers: Individuals who interact with someone with asthma on a regular basis, such as school staff or daycare providers, should also be aware of and familiar with the asthma action plan. This allows them to respond appropriately to any asthma-related emergencies that may arise.
Remember, it is essential to regularly review and update your asthma action plan in collaboration with your healthcare provider to ensure it reflects your current asthma management needs.
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What is asthma action plan?
A written plan that outlines how to manage asthma symptoms and respond to asthma attacks.
Who is required to file asthma action plan?
Individuals diagnosed with asthma or parents/guardians of children with asthma.
How to fill out asthma action plan?
Fill out the plan with information on triggers, medications, emergency contacts, and steps to take during an asthma attack.
What is the purpose of asthma action plan?
To provide guidance on asthma management, ensure quick response to asthma attacks, and improve overall asthma control.
What information must be reported on asthma action plan?
Triggers, medications, peak flow readings, symptoms, emergency contacts, and steps to take during an asthma attack.
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