Personal Asthma Action Plan
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1Personal Asthma Action Plan
(print off and discuss with your GP/Asthma Nurse)
Your Name:
Date of Birth:
Asthma Nurse/GP contact telephone number:
Personal Best Peak Flow Reading:
When recorded:
Known Allergies & Asthma Triggers:
When your asthma is controlled: almost no asthma symptoms
☺ No regular wheeze, chest tightness or cough during the day
☺ Sleep is not disturbed by asthma symptoms
☺ Not limited in your activities because of asthma symptoms (eg housework, sport)
☺ You do not need to take your reliever inhaler more than 3 times a week
(except when it is taken before strenuous exercise)
☺ Your peak flow reading is at least 80% of your personal best
Then: CONTINUE your usual asthma treatment
Preventer:
............................................
Dose: ...........................
............................................
Dose: ...........................
............................................
Dose: ...........................
Reliever:
............................................
Dose: ...........................
When your asthma is less well-controlled: symptoms are getting worse
Increasing day-time symptoms of cough, wheeze or chest tightness
Disturbed sleep and early waking because of asthma symptoms
The first signs of a cold (if this usually upsets your asthma control)
Increased need to take your reliever inhaler to more than once a day
Your peak flow reading is between 70% and 80% of your usual best reading
Then: TAKE ACTION
- take extra reliever (eg salbutamol) 4-6 puffs via a spacer (or nebuliser if you have one)
- increase the amount of preventer you take as advised by your GP/Asthma Nurse
- check to see whether your symptoms or peak flows improve with the extra medication
- if no better or getting worse, seek medical help
When you have severe symptoms: your asthma feels out of control
You need your reliever inhaler every 3-4 hours or more often
You have constant wheeze, coughing and chest tightness
Normal activities are difficult because of your asthma
Your peak flow is between 50% and 70% of my usual personal best
Then: TAKE ACTION
- take extra reliever e.g. salbutamol 4-6 puffs via a spacer (or nebuliser if you have one) repeat every 10-20 mins if necessary
- start prednisolone tablets
Dose: ............................ once a day for at least 5 days
- contact your GP or Asthma Nurse and see in the next 48 hours
- when your asthma symptoms are well controlled again, switch back to your usual treatment after 3 days
- if symptoms do not improve or get worse- seek urgent medical help
DANGER!! Emergency assistance required!!
Call your doctor immediately or dial 999 (or 112) for an ambulance if you have the following problems:
!! You have great difficulty breathing, talking or walking and your symptoms are getting worse quickly
!! You are getting little or no effect from taking your reliever medication
!! Your peak flow reading is below 50% of your personal best
!! You are feeling frightened because of your asthma
While you are waiting for help:
Try to stay calm
Sit upright
Take one puff of your reliever (e.g. salbutamol) inhaler every minute via a spacer or use a nebuliser if you have one.
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