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Get the free Asthma Action Plan for Children age 6-18 - Child Health BC

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PEARLAND INDEPENDENT SCHOOL DISTRICT Asthma Action Plan Student Name ___ DOB ___ /___ /___ Severity Classification Intermittent Mild Persistent Moderate Persistent Severe Persistent Asthma Triggers
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How to fill out asthma action plan for

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How to fill out asthma action plan for

01
Obtain an asthma action plan from your healthcare provider.
02
Fill in your personal information, such as name, date of birth, emergency contact information.
03
Follow the color-coded zones for symptom management (green for good, yellow for caution, red for danger).
04
List your daily medications and doses in the appropriate sections.
05
Keep the asthma action plan in a readily accessible location for reference in case of an asthma attack.

Who needs asthma action plan for?

01
Anyone diagnosed with asthma should have an asthma action plan.
02
It is especially important for those with moderate to severe asthma, frequent asthma attacks, or those requiring daily medication.
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Asthma action plan is used to help individuals manage their asthma symptoms and know what steps to take in case of an asthma attack.
Individuals who have asthma are required to have an asthma action plan.
Asthma action plan can be filled out with the help of a healthcare provider who can tailor the plan to the individual's specific needs and triggers.
The purpose of asthma action plan is to provide guidance on how to manage asthma symptoms, recognize warning signs, and take appropriate action in case of an asthma attack.
Asthma action plan should include personalized medical information such as triggers, medications, emergency contacts, and step-by-step instructions for managing asthma symptoms.
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