Get Asthma Action Plan - Illinois Department Of Public Health - Huntleyparks

This guide provides clear and comprehensive instructions on how to fill out the Asthma Action Plan from the Illinois Department of Public Health. By following these steps, you can ensure that all necessary information is accurately recorded for effective asthma management.

Follow the steps to complete the Asthma Action Plan effectively.

1. Press the ‘Get Form’ button to access the Asthma Action Plan document and open it in the online editor.
2. Fill in the patient’s name, weight, date of birth, and peak flow. These details are crucial for identifying the individual and understanding their asthma management needs.
3. Provide the primary care provider's name and phone number. This information is essential for coordinating care.
4. Enter the primary care clinic's name and any known symptom triggers that can exacerbate asthma, ensuring comprehensive understanding of the user’s condition.
5. Complete the Green Zone section by listing daily controller medications and their respective doses. This section is vital for daily asthma management.
6. Indicate if a spacer is used. This information helps in understanding the administration method for medications.
7. In the Yellow Zone section, continue by documenting any additional reliever medications needed during symptoms. Specify doses and peak flow ranges.
8. Detail any instructions regarding the use of medications if symptoms persist, including when to contact a provider.
9. In the Red Zone section, list the reliever medications along with their doses. Clearly indicate the peak flow ranges related to this zone.
10. Review all filled sections for accuracy and completeness. Once finalized, save changes, download the document, or print it for your records or to share with healthcare providers.

Complete your Asthma Action Plan online today to ensure effective asthma management.