Westbury Group Practice

White Horse Health Centre, Mane Way, Westbury, Wiltshire, BA13 3FQ
01373 828330

10 November 2022
My Asthma Care Plan
Mr Ralf Dorrell
Date of birth 27 Apr 1959. NHS number 452 356 0404
GREEN: Well Controlled
My asthma is under good control if:
• I have no or very few symptoms during the day and night
• I can do all the things I normally do without any symptoms
• My asthma has not interfered with my usual activities
• My peak flow reading is above 500 L/min (80% of my best)
What to do:
1. I take my reliever inhaler only when I need to if I’m wheezing, my chest feels tight, I’m
finding it hard to breath or if I’m coughing.
2. If exercising makes my breathing worse, I take my reliever beforehand.
3. If I have a preventer inhaler, I take this every day, even when I feel well
4. If agreed with your GP, consider gradually reducing your preventer so it is on the lowest
dose to control your symptoms

AMBER: Getting Worse

My asthma is getting worse if:
• I have a cough, wheeze, it is hard to breath or my chest hurts or feels tight, or
• I am waking up at night because of my asthma, or
• I am taking my reliever inhaler more frequently or every day, or
• My symptoms are interfering with my usual day-to-day activities (e.g. work, exercise)
• My peak flow is less than 500 L/min (80% of my best):
When this happens, I should:
1. Take two puffs of my reliever inhalers every four hours until my symptoms improve
2. If I haven’t been using my preventer inhalers, I should start using them regularly again.
3. If I have been using my preventer inhaler correctly, and if I have been instructed to do
so, increase my preventer inhaler dose to 4 puffs 2 times a day until my symptoms
resolve
4. See a doctor or nurse within 24 hours if I get worse or don’t improve within 7 days.

RED: Asthma Attack

I am having an asthma attack if:
• My reliever inhaler is not helping, or I need it more than every four hours, or
• I find it difficult to walk, talk or eat due to my breathlessness, or
• I find breathing difficult, and I am breathing hard and fast, or
• I’m wheezing or coughing a lot, or I have a very tight chest, or
• My peak flow is less than 375 L/min (60% of my best):
When this happens, I should:
1. I should seek medical advice immediately by calling my GP, going directly to A+E
2. Sit up straight and try to keep calm
3. Take 1 puff of my reliever inhaler every 30-60 seconds, up to a maximum of 10 puffs.
4. If I feel worse at any point, no better after 10 puffs, or my peak flow drops to 40% of my
best, call 999 for an ambulance
5. Repeat step 3 after 15 minutes while you’re waiting for an ambulance
6. Even if my symptoms improve, I should see my doctor immediately after a serious
asthma attack

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Mr Ralf Dorrell
 Westbury Group Practice
White Horse Health Centre, Mane Way, Westbury, Wiltshire, BA13 3FQ
01373 828330

Agreed Self-Management Plan

My reliever inhaler is:

Ventolin 100micrograms/dose Evohaler (GlaxoSmithKline UK Ltd), TWO PUFFS WHEN
REQUIRED

My preventer inhaler is:

Kelhale 100micrograms/dose inhaler (Cipla EU Ltd), Inhale ONE puff TWICE a day

My other Asthma medications are:

None

Remember that you can request repeat medication online at https://systmonline.tpp-uk.com. Once
your inhaler is empty, please do not put it in landfill or recycling, as gases inside them can contribute
to climate change. Instead, please return it to your local pharmacy for more environmentally friendly
disposal.

My next review is:

My latest peak flow is: 625 L/min

My best peak flow is: 625 L/min

My asthma triggers are: Asthma trigger - respiratory infection, Asthma trigger - animals, Asthma
trigger - seasonal

Symptom Diary:
Date Symptoms Actions

PEFR:

PEFR:

PEFR:
• Keep your care plan somewhere easy for you and your family to find, like a fridge door or noticeboard.
• Take a photo of this on your mobile phone or tablet and share it so that you can check it wherever you are
• Further information can be found at www.asthma.org.uk, www.kickasthma.org.uk
• If you have any concerns about managing your asthma, you can call an asthma nurse specialist on Asthma
UK’s advice line 0300 222 5800 or email info@asthma.org.uk
• Please note this information is not for people who use the Symbicort SMART regime

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Mr Ralf Dorrell