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Asthma and Allergy Foundation of America National Asthma Education and Prevention Program ASTHMA ACTION CARD Camper Name: Session: Cabin: Parent/Guardian Name: pH: (h): pH: (w): Parent/Guardian Name:
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How to fill out asthma action plan

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How to Fill Out Asthma Action Plan:

01
Obtain an asthma action plan form: Contact your healthcare provider to obtain a copy of an asthma action plan form. This form will guide you on how to manage your asthma symptoms effectively.
02
Fill in personal information: Start by filling in your personal information, such as your name, age, contact information, and emergency contact details. This will ensure that the plan is personalized to your specific needs.
03
Specify asthma triggers: Identify the specific triggers that worsen your asthma symptoms, such as dust, pollen, smoke, or exercise. This will help you proactively avoid these triggers and minimize the risk of an asthma attack.
04
Define symptom severity levels: The asthma action plan will typically include different symptom severity levels, such as green, yellow, and red zones. Follow the instructions provided to determine the appropriate actions to take based on your symptoms.
05
Outline daily medications: List all the medication names and dosages prescribed by your healthcare provider. It is crucial to include both the controller medications that you take regularly and the quick-relief medications for immediate symptom relief.
06
Emergency contact details: Ensure that the asthma action plan includes the contact details of your healthcare provider, as well as emergency contact information. This will enable you to seek immediate medical assistance when needed.

Who Needs an Asthma Action Plan:

01
Individuals diagnosed with asthma: Anyone who has been diagnosed with asthma, whether it is mild or severe, should have an asthma action plan. It serves as a vital tool to manage asthma symptoms and prevent exacerbations.
02
Parents of children with asthma: If your child has asthma, it is crucial to have an asthma action plan to ensure their safety and well-being. It will provide clear guidance on how to recognize and manage their symptoms effectively.
03
Caregivers and teachers: Individuals who are responsible for the care of someone with asthma, such as caregivers or teachers, should also have access to the person's asthma action plan. This allows them to provide the necessary support and assistance during asthma episodes.
Remember, an asthma action plan is a personalized guide that helps you take appropriate actions when managing asthma symptoms. It should be regularly reviewed and updated with your healthcare provider to ensure its effectiveness and accuracy.
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An asthma action plan is a written guide that helps individuals with asthma manage their symptoms and know what to do in case of an asthma attack.
Individuals with asthma, especially those who experience moderate to severe symptoms, are required to have an asthma action plan.
To fill out an asthma action plan, individuals should work with their healthcare provider to customize the plan based on their specific symptoms and triggers.
The purpose of an asthma action plan is to help individuals monitor their asthma symptoms, identify triggers, and know how to respond in case of an asthma attack.
An asthma action plan typically includes information on daily medications, peak flow readings, asthma triggers, emergency contacts, and steps to take in case of an asthma attack.
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