Written Asthma Action Plan (WAAP)

Written Asthma Action Plan (WAAP) Patient Sticky Label

Always remember to bring your inhaler device, spacer and WAAP for every appointment Advised by: Tel: Date:

When you are well

Use preventer medicine daily Medicine

• No cough

How Much

How Often

• No wheezing • No breathlessness

1

puffs

times/day

• No chest tightness

2.

puffs

times/day

• No night-time asthma symptoms

3.

tablet

times/day

• Before exercise Reliever

• Occasional symptoms of asthma CAUTION When you have one of the following:

• Asthma symptoms limiting your activities or exercise • Use of reliever inhaler for more than two times a week

When necessary

Take the following medicine for next 7 to 14 days.

If your condition has improved, go back to Green Zone.

Medicine

• Night-time asthma symptoms • Day-time asthma symptoms for more than two times a week

2 puffs

How Much

How Often

1

puffs

times/day

2.

puffs

times/day

3.

tablet

times/day

Reliever If on Symbicort 1. Symbicort (Controller)

2. Symbicort (Reliever)

puffs hourly x Not more than 12 puffs / day puffs times a day Additional 1 puff when necessary.

Do not take more than 6 puffs at any one time.

days

DO NOT exceed 12 puffs a day for adults (Controller + Reliever)

For adults only – if you see no improvement after 48 hours, add: Prednisolone Tablet DANGER Get help when you encounter:

mg per day See your doctor now!

DO NOT WAIT

• Difficulty breathing and/or speaking

1. Reliever 4 puffs at 10 to 20 minutes interval till you get to the nearest clinic or hospital

• Wheezing or chest tightness

2. Take Prednisolone

• No improvement after taking the medications in yellow zone

days

mg immediately (if not taken yet)

Call 995 for an ambulance if needed

Disclaimer: All information contained herein is intended for your general information only and is not a substitute for medical advice for treatment of asthma. If you have specific questions, consult your doctor.

Asthma Control Test

This test can help people with asthma (12 years or older) assess their asthma control.

Please circle the appropriate response for each question. You can calculate your total scores by adding up the numbers for each of your responses. Be sure to review your results with your doctor or nurse.

1. During the past 4 weeks, how often did your asthma prevent you from getting as much work done at work, school or home?

1 All of the time

2 Most of the time

3 Sometimes

4

5

Rarely

Score

Not at all

2. During the past 4 weeks, how often have you had shortness of breath?

1 More than once a day

2 Once a day

3 3 - 6 times a week

4

5

Once or twice a week

Score

Not at all

3. During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?

1 4 times or more a week

2 2 - 3 nights a week

3 Once a week

4

5

Once or twice a month

Score

Not at all

4. During the past 4 weeks, how often have you used your rescue inhaler or nebuliser medication (such as Salbutamol)?

1 3 or more times a day

2 1 or 2 times a day

3 2 - 3 times a week

4

5

Once a week or less

Score

Not at all

5. How would you rate your asthma control during the past 4 weeks?

1 Not controlled

Score: 25 Score: 20 - 24 Score: < 20

2 Poorly controlled

3 Somewhat controlled

4

5

Well controlled

Score

Completely controlled

Congratulations! You have total control of your asthma.

On target. Your asthma may be well controlled.

Off target. Your asthma may be poorly controlled.

Total:

Yishun Health is a network of medical institutions and health facilities in the north of Singapore, under the National Healthcare Group.

Admiralty Medical Centre • (65) 6807 8000 • www.admiraltymedicalcentre.com.sg Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.

GM.IE.01E.0420