name
Personal Best Peak Flow Meter Number: _______
’s Action Plan
You are not breathing your best.
You are breathing your best.
You need help now.
You:
You may:
You may:
•h ave peak flow meter scores greater than _________ (80% of your personal best peak flow number)
•h ave a peak flow meter score between ____–____ (50–80% of your personal best peak flow number)
•h ave a peak flow meter score less than_________ (50% of your personal best peak flow number)
•b e coughing or wheezing at night
•b e coughing, short of breath, wheezing
•h ave early warning signs of a flare-up
• s uck in skin between ribs, above your breastbone and collarbone when breathing
• s leep through the night without coughing or wheezing •h ave no early warning signs of an asthma flare-up • can do usual activities
•h ave trouble doing your usual activities (work, school, exercise)
Take preventive medicines:
Take quick-relief medicines:
•
•
•
•
•
•
•h ave trouble walking or talking
Emergency Medicine Plan:
•
•
•
•
Continue or increase your preventive medicines. •
Continue to avoid triggers.
•
Call your doctor if:
Take quick-relief medicines 15 minutes before exercise.
•y ou stay in the yellow zone more than ____hours
• • •
Copyright © 1999-2012 Pritchett & Hull Associates, Inc. DO NOT DUPLICATE.
Call your doctor or emergency room and ask what to do.
•
• your nails or lips are blue
•y our symptoms are getting worse
•y ou have trouble walking or talking
•y ou use your quick-relief medicine more often than every 4 hours or ___times a day
• you cannot stop coughing
Pritchett & Hull Associates, Inc. Bringing Patients & Health Together ®
Call 911 if:
Atlanta, GA
800-241-4925
Product # 327