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Asthma Emergency Action Plan Students Name:Date of Birth___/___/___ School Year ___Emergency Contact Information NameRelationshipHome phone:Work Phone:Cell Phone:NameRelationshipHome phone:Work Phone:Cell

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How to fill out asthma emergency action plan

01

Obtain a copy of the asthma emergency action plan from your healthcare provider.

02

Fill in your personal information at the top of the form, including your name, date of birth, emergency contact information, and healthcare provider's contact information.

03

Follow the color-coded zones on the action plan (usually green, yellow, and red) to determine when to take specific actions based on your symptoms.

04

Fill in the medications you need to take in each zone, including the name of the medication, the dose, and how often it should be taken.

05

Include any additional instructions or special considerations provided by your healthcare provider.

06

Keep the asthma emergency action plan in a easily accessible location and make sure family members, caregivers, and school personnel are aware of its location and how to use it.

Who needs asthma emergency action plan?

01

Anyone diagnosed with asthma, especially those with moderate to severe asthma or those who have experienced asthma attacks in the past, should have an asthma emergency action plan.

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What is asthma emergency action plan?

An asthma emergency action plan is a written document that outlines the steps to be taken in the event of an asthma attack

Who is required to file asthma emergency action plan?

Individuals with asthma, especially those who experience frequent symptoms or have a history of severe attacks, are required to have an asthma emergency action plan.

How to fill out asthma emergency action plan?

To fill out an asthma emergency action plan, individuals should work with their healthcare provider to create a personalized plan that includes information on triggers, medications, and steps to take in case of an emergency.

What is the purpose of asthma emergency action plan?

The purpose of an asthma emergency action plan is to provide clear guidance on how to manage asthma symptoms and respond effectively in case of an emergency.

What information must be reported on asthma emergency action plan?

An asthma emergency action plan should include information on the individual's asthma triggers, medications, dosage instructions, and steps to be taken in case of an asthma attack.

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