cough-variant asthma - Kelkar - World Allergy Organization

Asthma Action Plan until ______________WrittenAsthmaActionPlanNamePrimary Care Provider Name:Daytime Phone Number:Night/Weekend Phone Number:Pharmacy NamePharmacy Phone Number:DateThe colors of a traffic light will help youuse your asthma medicines.Green means Go Zone!Use preventive medicine.Yellow means Caution Zone!Add quick-relief medicine.Red means Stop Zone!Get help from a doctor.Personal Best Peak Flow: ________GO ACTION: Use these daily preventive anti-inflammatory medicines:You have all of these:• Breathing is good• No cough or wheeze• Sleep through theNight• Can work and playFor asthma withexercise, take:Medicine How Much How OftenCAUTION ACTION: Continue with your medicine, as above, and ADD:You have any of these:• First signs of a cold• Cough• Mild wheeze• Tight chestPeak flowfrom________to________Peak flowfrom________to________Medicine How Much How OftenCall your primary care providerDANGER ACTION: Take these medicines until you talk to your doctor:Get help from a doctor now! Do not be afraid of causing a fuss.Your doctor will want to see you right away. It’s important!Your asthma is getting worse fast:• Medicine is not helping• Breathing ishard and fastPeak flowbelow• Nose opens wide________• Ribs show• Can’t talk wellMedicine How Much How OftenIf you cannot contact your doctor, go directly to the emergency room. DO NOT WAIT.Call an ambulance (911) if necessary.Make an appointment with your primary care provider within two days of an ER visit or hospitalization.Adapted from the NHLBIReprinted with permission from IMPACT DC.