Get My Every Day Asthma Action Plan - Texas Childrens Health - Texaschildrenshealthplan

The My Every Day Asthma Action Plan provides a structured way for individuals to manage and understand their asthma care. This guide offers comprehensive instructions on completing the action plan online, ensuring that all necessary information is captured for effective asthma management.

Follow the steps to complete your asthma action plan online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient's name in the designated field. Optionally, include the Patient ID label for easier identification.
3. Input the date on which the action plan is filled out in the specified format (MM-DD-YYYY).
4. In the section labeled 'I take this medicine EVERY DAY to keep my ASTHMA in CONTROL,' list the names of everyday medications, including the dosage and frequency of use.
5. Specify any medications taken before exercise in the appropriate field. Ensure to include the name of the medicine and its dosage.
6. Detail any other everyday medications in the space provided. This may include over-the-counter drugs or supplements related to asthma management.
7. Identify the green zone symptoms, which indicate controlled asthma, by reviewing the criteria such as having no cough or wheeze.
8. In the section for quick relief of asthma symptoms, fill in the name of the relief medication, its dosage, and the frequency at which it is taken.
9. When identifying the yellow zone, outline the early signs of asthma symptoms and any preventative medications as posted in the form.
10. For the red zone, fill out the persistent symptoms and the medications required for immediate relief.
11. Provide information about oral steroids if applicable, including the name, dosage, and frequency of use.
12. Make sure to include emergency contact information for the doctor in case of severe symptoms.
13. Review the danger zone criteria and stress the importance of calling emergency services if severe symptoms arise.
14. List any asthma triggers that should be avoided, ensuring the necessary precautions are noted.
15. Finally, include the date for the next asthma follow-up visit in the designated section.
16. Once all fields are completed, save your changes, and prepare to download, print, or share the document as needed.

Complete your asthma action plan online today to ensure optimal asthma management.