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Illinois Department of Public Health Asthma Action Plan Patient Name Weight Date of Birth Peak Flow Primary Care Provider Name Phone Asthma Severity Primary Care Clinic Name Symptom Triggers Green.

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Asthma Action Plan | AAFA.org.

Asthma Action Plans are typically divided into three color-coded zones: Green for when you're feeling well, with no symptoms. Yellow for when you are experiencing manageable symptoms. Red for when you need immediate assistance from the doctor or hospital.

Your personal asthma action plan should include: a list of your usual asthma medicines, including doses. instructions on what to do when your asthma gets worse (including when to take extra doses or extra medicines, and when to contact a doctor or go to the emergency department) what to do in an asthma emergency.

You are in the red zone of your asthma action plan if you have severe asthma symptoms. Symptoms include: Any shortness of breath while walking, talking, or at rest. Use of the chest muscles to breathe.

The yellow zone means that you are experiencing symptoms. This is where you should slow down and follow the steps including the use of your quick-relief medicine to keep your asthma from getting worse. And, the red zone means you are experiencing severe asthma symptoms or an asthma flare-up.

Green Zone: No coughing, wheezing, chest tightness, or shortness of breath. Well Every day: Take these medicines, even if you're not having any symptoms. Avoid triggers that you know make your asthma worse. Before you exercise: Take 2 or 4 Puffs of 5 minutes before you start, as needed.

Your asthma action plan will include your medicines and instructions for what to do when you are feeling well, what to do when you have asthma symptoms and what to do when your asthma symptoms are getting worse. It should include the names of your medicines, how much to take and when to take it.

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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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