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Asthma Diary Template Make copies of the following template for your asthma diary. You can complete the highlighted fields on this form online and then print the form for easy reference. Only text that is visible on the form is printed scrolled text will not print* Any text you enter into these fields will be cleared when you close the form you cannot save it. Week of My personal best is. My green zone is liters per second 80 to 100 of my personal best. My yellow zone is less than To figure out 80 of personal best peak flow multiply your personal best by 0. 80. To figure out 50 of personal best peak flow multiply your personal best by 0. 50. My current long-term medications are Date AM/PM peak expiratory flow Green Yellow Red Trigger Symptoms Quick-relief medication and response Red zone visit to doctor or hospital 1995-2011 Healthwise Incorporated* Healthwise Healthwise for every health decision and the Healthwise logo are trademarks of Healthwise Incorporated* This information does n....

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NC DMA-5063 2007 NC DMA-5199 2016 NC DSS-1678 2011 NC DSS-1808ins 2010

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The ADSD is a six-item daily measure of asthma symptom severity that assesses three core categories of asthma symptoms: breathing symptoms (Difficulty breathing; Wheezing; Shortness of breath) chest symptoms (Chest tightness; Chest Pain) and cough.

Keeping an Asthma Journal A daily asthma journal can help you monitor asthma symptoms, measure lung function, keep track of medications, and identify triggers.

Asthma is a condition in which your airways narrow and swell and may produce extra mucus. This can make breathing difficult and trigger coughing, a whistling sound (wheezing) when you breathe out and shortness of breath. For some people, asthma is a minor nuisance.

Peak expiratory flow (PEF) is measured in litres per minute. Normal adult peak flow scores range between around 400 and 700 litres per minute, although scores in older women can be lower and still be normal. The most important thing is whether your score is normal for you.

Tell the operator that someone is having an asthma emergency. Keep giving the person 4 separate puffs, taking 4 breaths for each puff, every 4 minutes until emergency assistance arrives.

Things to consider including in your diary are: Date. Symptoms: type and time of day. Peak flow readings (if you are using your peak flow meter) Nighttime waking due to asthma. Medication use, especially your rescue inhaler. Limitations on your activities because of asthma.

An asthma diary helps you keep track of how well you are managing your asthma. If you have symptoms or an asthma attack, record the trigger (if possible), the symptoms, and what kind of medicine you used for relief and how well it worked. Also note if you had to contact your doctor or seek emergency care.

Blow into your peak flow meter first thing in the morning and in the evening before you take your asthma medicine. When you blow into your meter do it three times and record the highest score with a cross on the chart inside.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232