Get the free ASTHMA ACTION PLAN for NM Schools2016 -2

NEW MEXICO ASTHMA ACTION PLAN FOR SCHOOLS School District Date School Name School Nurse / Health Asst. School Phone # / FAX # / PARENT/GUARDIAN: Please complete the information in the top sections

How to fill out asthma action plan for

How to fill out asthma action plan for

1. Start by obtaining an asthma action plan from your healthcare provider.
2. Read the action plan thoroughly and familiarize yourself with its content.
3. Make sure you understand the different zones in the action plan, usually categorized as green, yellow, and red.
4. Note down the specific symptoms and peak flow readings associated with each zone.
5. Gather the necessary materials for filling out the action plan, such as a pen and a peak flow meter.
6. Fill in your personal information, including your name, date of birth, and emergency contact details.
7. Follow the guidelines provided in the action plan to complete the green zone section.
8. Record your normal peak flow range and any daily controller medications in the designated spaces.
9. Move on to the yellow zone section and enter the symptoms that indicate your asthma is worsening.
10. Specify the medications to be used in the yellow zone and the corresponding dosages.
11. Complete the red zone section by listing severe symptoms that require immediate action.
12. Include the emergency contact numbers and steps to take during an asthma attack.
13. Double-check the information you have provided to ensure accuracy.
14. Ask your healthcare provider to review and approve the filled-out action plan.
15. Keep a copy of the completed asthma action plan with you at all times and share it with your close contacts.

Who needs asthma action plan for?

1. Anyone diagnosed with asthma can benefit from having an asthma action plan.
2. It is particularly important for individuals with moderate to severe asthma, as they may require regular monitoring and adjustment of their medication.
3. Children and adolescents with asthma should have an action plan in place to guide their caretakers on how to respond in case of an asthma attack.
4. Asthma action plans are also recommended for individuals with a history of frequent asthma exacerbations or hospitalizations.
5. People who have recently been diagnosed with asthma or those who are new to managing their condition should have an action plan to help them navigate through different scenarios.
6. It is important to note that each person's asthma is unique, and an action plan should be tailored to their specific needs and asthma triggers.

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What is asthma action plan for?

An asthma action plan is a written document that outlines the steps to manage asthma, including daily management and how to handle worsening symptoms or attacks.

Who is required to file asthma action plan for?

Patients with asthma, caregivers, and healthcare providers are typically involved in creating and filing an asthma action plan.

How to fill out asthma action plan for?

To fill out an asthma action plan, one should include information such as the individual's asthma triggers, daily medications, symptom monitoring, and steps to take during an asthma attack.

What is the purpose of asthma action plan for?

The purpose of an asthma action plan is to provide clear steps for managing asthma symptoms and to prevent severe asthma attacks.

What information must be reported on asthma action plan for?

An asthma action plan should report information on medications, triggers, peak flow measurements, emergency contacts, and steps for different levels of symptom severity.