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My Action Asthma Plan

When my asthma is When my asthma is When my asthma is How to recognise


WELL CONTROLLED GETTING WORSE SEVERE LIFE-THREATENING ASTHM
 No regular wheeze, or cough or chest  At the first sign of worsening asthma  Need reliever puffer every 3 hours or more Dial 000 for an ambulance and/or
tightness at night time, on wakng or during symptoms associated with a cold often from a mobile phone if you have a
the day the following danger signs:

 Able to take part in normal physical activity  Waking from sleep due to coughing,  Increasing wheezing, choughing, chest  extreme difficulty breathing
without wheeze, cough or chest tightness wheezing or chest tightness tighness  little or no improvement from relie
puffer
 Need reliever medication less than three  Using reliever puffer more than 3 times a  Difficulty with normal activity  lips turn blue
times a week (except if it is used before week (not including before exercise)  Waking each night and most mornings with and follow the Asthma First Aid Plan
exercise) wheezing, coughing or chest tightness while waiting for ambulance to arrive

 Feel that asthma is out of control


 Peak Flow above *  Peak Flow * between  Peak Flow * A serious asthma attack is also
indicated by:
 symptoms gettingn worse quickly
What should I do? What should I do? What should I do?
 severe shortness of breath or diff
in speaking
Continue my usual treatment as follows Increase my treatment as follows: Start Oral Prednisolone (or other steroid) and  you are feeling frightened or pani
increase my treatment as follows:
 Peak Flow * below
PREVENTER Should any of these occur, follow the
Asthma First Aid Plan below.
Asthma First Aid Plan
RELIEVER 1 Sit upright and stay calm.
2 Take 4 separate puffs of a reliever
(one puff at a time) via a spacer d
COMBINATION MEDICINE Just use the puffer on its own if yo
don’t have a spacer. Take 4 breath
from the spacer after each puff.
Always carry my releiver puffer See my doctor to talk about my asthma See my doctor for advice. 3 Wait 4 minutes. If there is no
getting worse. improvement, take another 4 puffs
Doctor:Dr Prem Saranathan Ph: 0399237888 Signature: 4 If little or no improvement CALL A
AMBULANCE IMMEDIATELY (DIA
Parent/Carer: Ph: and/or 112 from mobile phone) an
that you are having an asthma att
Keep taking 4 puffs every 4 minut
the ambulance arrives
See your doctor immediately after a
serious asthma attack.
Name: Date: 23/11/2016 Best Peak Flow: Next Dr's Appointment:
* Not recommended for children under 12 years

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