asthma action plan pdf

RED means Danger Zone. This could include teachers school nurses and after school care staff.

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My asthma action plan times per day EVERY DAY Take ONLY NOas needed see below starting in Yellow Zone or before excercise times per day EVERY DAY times per day EVERY DAY 2 puffs 4-6 puffs 1 nebulizer treatment Gargle or rinse mouth after use Special instructions when I.

. Asthma Action Plan for Home and School. Asthma Action Plan for Home School Name. 3 FREQUENTLY ASKED. Intermittent Mild Persistent Moderate Persistent Severe Persistent Heshe has had many or severe asthma attacksexacerbations School Staff.

Allergens Animal Dander Some people are allergic to the flakes of skin or dried saliva from animals with fur or feathers. If you cant keep the pet outdoors then. Day NightWeekend Emergency Contact. The asthma action plan chosen should be appropriate for the persons age educational status language and culture.

Intermittent Mild Persistent Moderate Persistent Severe Persistent. Perform skin or blood allergy tests for all patients with persistent asthma. 23 Asthma Symptoms Peak Expiratory Flow Diary. YELLOW means Caution Zone.

Your goal is to prevent and control your asthma attacks. Assess asthma severity to initiate treatment see page 5. Many written asthma action plans are available as different action plans suit different people. Update or review the Asthma Action Plan every 6 to 12 months.

ALA Asthma AP Home_School V1 3 18 2020. Work with your health care provider to create a plan for your child. As for the rest of us who suffer from certain types of medical conditions that hinder us from performing strenuous activities with ease everything that we do is done under the watchful eyes of our parents guardians and doctors. Assess at each visit.

Pediatric Asthma Action Plan 1-15years Use a spacer device holding chamber with all metered dose inhalers. Asthma Action Plans also tell school and other caregivers about your childs asthma. Date Name Next of kin Next of kins contact number Emergency contact number asthmaie MY ASTHMA MEDICINE My daily controller medication My controller inhaler is. No coughing wheezing chest tightness or difficulty breathing P Can work play exercise perform usual activities without symptoms.

I consent to communication between the prescribing health care provider or clinic. P Peak flow. For Home and School. Asthma Action Plans.

For more information contact The Asthma Society of Canada at wwwasthmaca or call 1-866-787-4050 An Asthma Action Plan is a series of. Assess asthma control at every visit by self-administered standardized test or verbal history. 27 Discharge Plan From The Emergency Department After Acute Asthma. GREEN means Go Zone.

Medication Changes if Loss of Control. This Asthma Action Plan is adapted from the Asthma Action Plan created by the National Institutes of Health. To order more Asthma Action Plans visit the National Asthma Council website. Follow the Yellow and Red Zone plans for rescue medicines according to asthma.

The best thing to do. Peak Flow Meter Personal Best. ASTHMA ACTION PLAN Name. Asthma care must be personalized.

Assess asthma control to determine if therapy should be adjusted see page 6. Use of reliever puffer no more than 3 times per week Daytime symptoms cough wheeze or breathing. Electronic PDF versions are available in full colour black and white or a writable PDF. Here is a sample Asthma Action Plan you can use for students in school.

Perform spirometry at baseline and at least every 1 to 2 years for patients 5 years of age. Medical Review September 2015. A range of action plans are available on the website please use the one that best suits your patient. Asthma control proper medication technique written asthma action plan patient adherence patient concerns.

I give permission for the medicines listed in the action plan to be administered in school by the nurse or other school staff as appropriate. Your asthma action plan Fill this in with your GP or nurse The step-by-step guide that helps you stay on top of your asthma Name and date. Can play and exercise without asthma symptoms Not waking at night due to asthma symptoms Need reliever puffer less than 2 times a week not including before. Symptoms are same or worse after 24 hours in the Yellow Zone OR Very short of breath OR Quick-relief asthma medicines have not helped OR Cannot.

The colors of a traffic light will help you use your asthma medicines. Everyone with asthma needs his or her own Asthma Action Plan. 11 Printable Asthma Action Plan Examples PDF Lucky are those who can live their life to the fullest without much restriction. Symptoms are same or worse after 24 hours in the Yellow Zone OR Very short of breath OR Quick-relief asthma medicines have not helped OR Cannot do usual activities work play Peak Flow Meter if usedOR.

Severity Classification. Maintain Therapy DESCRIPTION Youyour child has ALL of the following. This brochure provides an Asthma Action Plan that will help you learn the steps to self-manage your asthma so you can live a life as symptom-free as possible. Keep furred or feathered pets out of your home.

Work with your health care provider to create a plan that works for you. Green for when youre doing well. 22 Asthma Post-Admission Quick Case Review Template. This Asthma Action Plan is adapted from the Asthma Action Plan created by the National Institutes of Health.

This information is for general purposes and is not intended to replace the advice of a qualified health professional. Asthma Self-Management Action Plan. Asthma action plan library. Our library includes some of the many different written asthma action plans available.

The asthma action plan chosen should be appropriate for the persons age treatment regimen asthma severity culture language literacy level and ability to self-manage. Be sure to include the three zones created by the National Institutes of Health.

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