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GREEN ZONE: Peak flow is more than.

I have no cough, wheeze, chest tightness, or shortness of breath during the day or night. I can do my usual activities. I take these drugs every day:

DRUG:_________________________ HOW MUCH & WHEN:_________________________

DRUG:_________________________ HOW MUCH & WHEN:_________________________

DRUG:_________________________ HOW MUCH & WHEN:_________________________

DRUG:_________________________ HOW MUCH & WHEN:_________________________

Additional instructions:

YELLOW ZONE: Peak flow is between and.

I have coughing, or wheezing, or chest tightness, or shortness of breath, or waking at night due to asthma. Or, I can do some -- but not all -- of my usual activities.

I add this quick relief drug (and keep taking my GREEN ZONE drugs):

DRUG:_________________________ HOW MUCH & WHEN:_________________________

Additional instructions:

RED ZONE: Peak flow is less than!

I am very short of breath, or quick-relief drugs have not helped, or I cannot do usual activities, or symptoms are the same/worse after 24 hours in the yellow zone.

DRUG:_________________________ HOW MUCH & WHEN:_________________________

After taking this drug, call the doctor NOW! Go to the hospital or call 911 for an ambulance if still in the red zone after 15 minutes AND I have not reached my doctor.

DANGER SIGNS:

  • Trouble walking and talking due to shortness of breath.
  • Lips or fingernails are blue.

Take 4 or 6 puffs of quick relief medicine and go to the hospital/call an ambulance!

Review Date: 6/29/2012

Reviewed By: Allen J. Blaivas, DO, Clinical Assistant Professor of Medicine UMDNJ-NJMS, Attending Physician in the Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Veteran Affairs, VA New Jersey Health Care System, East Orange, NJ. Review provided by VeriMed Healthcare Network. Previoulsy reviewed by David A. Kaufman, MD, Section Chief, Pulmonary, Critical Care & Sleep Medicine, Bridgeport Hospital-Yale New Haven Health System, and Assistant Clinical Professor, Yale University School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. (6/1/2010)

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