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ASTHMA ACTION PLAN - AAAAI

Name: Date: Emergency Contact: Relationship: Cell phone: Work phone: Health Care Provider: Phone number: Personal Best Peak Flow: ASTHMA ACTION plan . GREEN ZONE: Take these medicines every day for control and maintenance: Doing Well Medicine How much to take When and how often P No coughing, wheezing, chest tightness, or difficulty breathing P Can work, play, exercise, perform usual activities without symptoms OR. P Peak flow ____ to ____. (80% to 100% of personal best). YELLOW ZONE: CONTINUE your Green Zone medicines PLUS take these quick-relief medicines: Caution/Getting Worse Medicine How much to take When and how often P Coughing, wheezing, chest tightness, or difficulty breathing P Symptoms with daily activities, work, play, and exercise P Nighttime awakenings with symptoms OR.

Name: Date: Emergency Contact: Relationship: Cell phone: Work phone: Health Care Provider: Phone number: Personal Best Peak Flow: Take these quick-relief medicines:

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  Plan, Action, Asthma, Asthma action plan, Aaaai

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