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Action Plan
How can I get my personal asthma Action Plan?
Plan for you, stating which measures will have to be taken if the
state of your respiratory tract worsens, i.e. if the peak flow value
falls below certain limits. This Action Plan (for the self-manage-
ment of your illness) is based on the peak flow values measured
over a certain period and taken from your table.
Green
Everything is O.K.
Your peak flow value is more than
............ L/Min (> 80 % of your personal best).
Take the following continuous daily medication:
.............................................
Amber Caution! Measures must be taken.
Your peak flow value is below
............ L/Min (< 80 % of your personal best)
Increase your medication dose as follows:
.............................................
Red
Emergency program.
Your peak flow value is below
............ L/Min (< 50 % of your personal best).
Take the following emergency medication immediately:
.............................................
If your peak flow value does not improve by more than
at least 50 units, contact a doctor on emergency call
immediately.
Name of the patient:
Date:
1
2
3
4
800
L/Min.
750
700
650
600
550
500
450
400
350
300
250
200
150
100
50
Cough
Breathless
Sputum
= morning reading
Prescribed medication:
5
6
7
8
9
10
11
Your peak flow results normally fall into one of three coloured
zones – green, amber or red. Follow the Action Plan instructions
for the colour zone in which the highest of your measurements
falls.
Stick the enclosed „Action Plan" filled out by your doctor onto the
rear side of your peak flow meter.
How often should the Action Plan be updated?
You should see your doctor at least twice a year to have your
asthma checked and for possible changes to be made to your
Action Plan.
Peak flow log for four weeks
Please take sufficient copies of the Action Plan before filling it out
for the first time.
You can also obtain new copies from the PARI Internet page on
www.pari.de.
12
13
14
15
16
17
18
= evening reading
– 6 –
Month:
19
20
21
22
23
24
25
1
2
3
4
5
6
7
8
9
10
11
12
26
27
28
29
30
31
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