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