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ASTHMA SCHOOL MEDICATION PLAN Student Name: Birthdate: School Name:Grade/Rm. Emergency Contact Information and Parent / Guardian Information: Parent / Guardian1 (name / relationship): Phone (H) Tel
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How to fill out asthma emergency action plan

01
Start by printing out an asthma emergency action plan form.
02
Fill out your personal details such as name, date of birth, and emergency contact information.
03
Provide information about your asthma triggers and symptoms. This includes identifying the specific triggers that can cause an asthma attack and documenting your typical symptoms.
04
Specify your medications and their dosages. Include both daily medications and emergency medications that you may need during an asthma attack.
05
Outline the steps to be taken during an asthma attack. This includes both self-management techniques such as using a rescue inhaler and when to seek medical assistance.
06
Clearly indicate any relevant medical conditions or allergies that may affect your asthma treatment.
07
Review and update your asthma emergency action plan regularly to ensure it reflects any changes in your condition or treatment.
08
Keep a copy of the completed asthma emergency action plan with you at all times and provide copies to your healthcare provider, school nurse, and other relevant individuals.

Who needs asthma emergency action plan?

01
Anyone who has been diagnosed with asthma should have an asthma emergency action plan.
02
This includes both children and adults who have a history of asthma symptoms or have experienced an asthma attack in the past.
03
An asthma emergency action plan is particularly important for those with moderate to severe asthma, as they may be at a higher risk of experiencing severe asthma attacks.
04
Additionally, individuals who have frequent exposure to triggers such as allergens or pollutants should have an asthma emergency action plan in place.
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An asthma emergency action plan is a written plan that outlines the steps to be taken in case of an asthma attack.
Individuals with asthma, especially those with frequent asthma attacks, are required to have an asthma emergency action plan.
To fill out an asthma emergency action plan, consult with a healthcare provider to establish a plan tailored to your individual needs.
The purpose of an asthma emergency action plan is to provide guidance on how to manage and respond to asthma attacks quickly and effectively.
An asthma emergency action plan should include information on asthma triggers, medications, symptoms, and steps to be taken during an asthma attack.
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