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  1. Click ‘Get Form’ to open the asthma action plan in the editor.
  2. Begin by entering your name and the date at the top of the form. This personalizes your action plan.
  3. Fill in your doctor's name and contact information, including their office phone number for day and night/weekend access.
  4. Identify your personal best peak flow reading in the designated field. This is crucial for monitoring your asthma control.
  5. In the 'Green Zone' section, list your daily preventive medications, including how much and when to take them.
  6. For the 'Yellow Zone', note any quick-relief medications you should add if you experience caution signs like a cough or mild wheeze.
  7. In the 'Red Zone', document emergency medications and instructions for when your asthma worsens significantly. Ensure you have a clear plan for contacting your doctor.

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Your personal asthma action plan should include: a list of your usual asthma medicines, including doses. instructions on what to do when your asthma gets worse (including when to take extra doses or extra medicines, and when to contact a doctor or go to the emergency department)
The best way to remember the steps is the 6 breaths, 6 puffs, 6 minutes rule. Take 6 puffs of your reliever inhaler, with 6 deep breaths per puff. Repeat this every 6 minutes until help arrives or until regular breathing returns.
English Transcript. Allergist Steve Dorman, MD: The Rule of Twos inside asthma is if somebody is well controlled per our guidelines. They use the rescue inhaler less than two times a week during the day, less than two times a month during the night, and they have no limitation during their physical activities.
Keep giving the person 4 separate puffs, taking 4 breaths for each puff, every 4 minutes until emergency assistance arrives.
Your asthma action plan should include: Factors that make your asthma worse, asthma triggers Medicines you take to treat your asthma with specific names of each medicine. Symptoms or peak flow measurements (if used) that indicate worsening asthma.

People also ask

The 4x4x4 method is a simple but effective approach to managing asthma symptoms during an attack. It involves giving 4 puffs of Ventolin, the casualty talking 4 breaths after each puff and waiting 4 minutes. The goal of this technique is to regulate breathing and alleviate the symptoms of an asthma episode.

printable asthma action plan