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ASTHMA ACTION PLAN
Take me when you visit your doctor
Name:
Plan date:EMERGENCY CONTACT
Review date:Name:
Phone:Doctor details:Photo (optional)Relationship:WELL CONTROLLED is all of these...
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How to fill out your asthma action plan
How to fill out your asthma action plan
01
Consult with your healthcare provider to obtain a copy of the asthma action plan.
02
Familiarize yourself with the three zones in the action plan - Green (all clear), Yellow (caution), and Red (medical alert).
03
Record your personal best peak flow or spirometry readings in the action plan.
04
Follow the guidelines in the action plan for each zone, including medication usage and when to seek medical assistance.
05
Review and update your asthma action plan regularly with your healthcare provider as needed.
Who needs your asthma action plan?
01
Individuals diagnosed with asthma of all ages need an asthma action plan to effectively manage their condition.
02
Parents of children with asthma should also have an asthma action plan in place to ensure proper care and timely intervention during asthma attacks.
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What is your asthma action plan?
Your asthma action plan is a written document that outlines how to manage your asthma on a daily basis and what steps to take in case of an asthma attack.
Who is required to file your asthma action plan?
Your healthcare provider is required to create and file your asthma action plan.
How to fill out your asthma action plan?
Your healthcare provider will work with you to fill out your asthma action plan based on your specific symptoms, triggers, and medications.
What is the purpose of your asthma action plan?
The purpose of your asthma action plan is to help you manage your asthma effectively, prevent asthma attacks, and know what to do in case of an emergency.
What information must be reported on your asthma action plan?
Your asthma action plan should include information about your asthma triggers, symptoms, peak flow readings, medications, and emergency contact information.
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