My Asthma Action Plan
Make an Appointment
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My Asthma Action Plan
Overview
- My name ______________________________________
- Doctor's name _________________________________
- Doctor's phone ________________________________
Controller medicine | How much? | How often? | Other instructions |
---|---|---|---|
Quick-relief medicine | How much? | How often? | Other instructions |
---|---|---|---|
Important
EMERGENCY: If it's hard to walk or talk because of shortness of breath or if your lips or fingertips are blue, CALL 911 or go to the hospital for help right away.
GREEN ZONE This is where I want to be! | YELLOW ZONE My asthma is getting worse. | RED ZONE Danger! |
Symptoms
| Symptoms
| Symptoms
|
Peak flow (if I use a peak flow meter)
| Peak flow (if I use a peak flow meter)
| Peak flow (if I use a peak flow meter)
|
Actions
| Actions
| Actions
|
Credits
Current as of: July 31, 2024
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Topic Contents
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This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.