About your self management plan Useful Contacts Asthma TheGoals of asthma treatment are: Freedom from symptoms National Asthma Campaign, Providence House, Management Plan An unrestricted lifestyle Be able to get your best Providence Place, Islington for possible Peak Flow London N1 ONT As few acute attacks as Telephone 0171-226-226 possible www.asthma.org.uk Miss as little school as possible Green Zone – All clear to go. Your Please take this with asthma is under control and this is where you want to be most of the you when you visit the time. If you are in this zone most of Doctor or the Asthma the time it may be possible for your Doctor or Asthma Nurse to reduce Nurse Created 24 February 2010 the medicines. Amber Zone – Caution. Your asthma Height ……. cm is not under control and the Predicted PFR = ……….. medication may need to be changed. Predicted or Best Peak Flow ……… Make a note of your symptoms and Peak Flows so that the Doctor or Hospital Contact Number Asthma Nurse can assess you 01493 452010 properly. Red Zone – Red Alert! If you are in Doctor this zone follow the Red Zone Action …………………………… Plan and inform your Doctor or Asthma Nurse as the regular Devised by John Chapman Great Yarmouth 2001 treatment may also need adjusting. | Green Zone – GO Amber Zone Red Zone Yourasthma is under control when Your asthma is getting worse if you Breathing is hard & fast Breathing is good Wake at night with asthma Can’t talk easily or feed No cough or wheeze symptoms easily Can play games & sport Have cough, wheeze or tight Can’t walk normally chest Nose opens wide No sleep disturbance Need to use the reliever The reliever inhaler Can do normal activities inhaler regularly once a day Multidosing is not helping/not or more than usual lasting 2-3 hours Peak Flows are between …………. & ………… Peak Flows are between Peak Flows are below ………. Green Action Zone – Take medicines ………. & ……….. Red Action Plan as normal Amber Action Zone - Take Continue Multidosing Preventer preventer inhaler and other Take a dose of oral steroids medicines as normal. if you have them Start Multidosing Keep calm and reassure Other Medicines Give …..puffs of reliever - one puff at a time. Use a spacer if you have Get help from a Doctor NOW one and remember to shake the or call an ambulance MDI in between puffs. Do this Reliever every 4-6 hours as required. ………………………. 1-2 doses as required. If you are not improving, make an Remember if necessary to take this appointment to see your Doctor or before exercise. Asthma Nurse. If you have a Peak Flow Diary start filling in morning and evening peak flows, the symptoms you get each day, and how often you are using your reliever. Take it with you if you visit the Doctor or Asthma Nurse.