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Your asthma is as unique as you are Asthma varies over time and from person to person. What works for one person may not work for you. That is why your asthma care must be personalized. This brochure provides an Asthma Action Plan that will help you learn the steps to self-manage your asthma so you can live a life as symptom-free as possible. For more information contact The Asthma Society of Canada at www.asthma.ca or call 1-866-787-4050 An Asthma Action Plan is a series of steps that you can use to manage your asthma when it gets out of control. Take this Asthma Action Plan and discuss it with your doctor. You caught a cold, and today you are feeling wheezy and you find it difficult to do your usual activities. Last night you woke up because you were having difficulty breathing and you found it hard to get back to sleep. You need to take your reliever (blue) inhaler more and more. Do you know what to do? Respiratory infections, a common asthma trigger, often require a change to asthma treatment. You may find yourself making medication changes on your own and wondering if you’ve made the right decision. Talk to your doctor now about the specific steps you should take when you are having asthma symptoms. What works for one person with asthma may not work for you. It is very important to first gain a full understanding of all your choices and then to obtain guidance from your doctor on the appropriate steps to take. Research has shown that having written agreement with your doctor is very helpful when managing asthma at home. The aim of an Asthma Action Plan is to recognize the early warning signs of asthma and to take the appropriate steps. It helps you: take control of your asthma, know when to increase or decrease your medications so that your asthma is well-controlled, decide when you should seek emergency help. What is an Asthma Action Plan? Why use an Asthma Action Plan? How do I get a customized Asthma Action Plan? What would you do if? Breathe

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Page 1: Breathe - University of Torontothehub.utoronto.ca/family/wp-content/uploads/2016/12/... · 2016-12-04 · Breathe. Asthma Action Plan (Sample) Name: Doctor’s Name: Date: Hospital/Emergency

Yourasthma

is as uniqueas you are

Asthma varies over time and from personto person. What works for one personmay not work for you. That is why yourasthma care must be personalized.

This brochure provides an AsthmaAction Plan that will help you learn thesteps to self-manage your asthma soyou can live a life as symptom-free aspossible.

For more information contactThe Asthma Society of Canada at

www.asthma.caor call 1-866-787-4050

An Asthma Action Plan is a series ofsteps that you can use to manage yourasthma when it gets out of control.

Take this Asthma Action Plan anddiscuss it with yourdoctor.

You caught a cold, and today you arefeeling wheezy and you find it difficultto do your usual activities. Last nightyou woke up because you were havingdifficulty breathing and you found ithard to get back to sleep. You need totake your reliever (blue) inhaler moreand more. Do you know what to do?

Respiratory infections, acommon asthma trigger,often require a change toasthma treatment. You mayfind yourself making medicationchanges on your own andwondering if you’ve made the rightdecision. Talk to your doctor nowabout the specific steps you shouldtake when you are having asthmasymptoms.

What works for one person withasthma may not work for you. It isvery important to first gain a fullunderstanding of all your choices andthen to obtain guidance from yourdoctor on the appropriate steps to take.

Research has shown that having writtenagreement with your doctor is veryhelpful when managing asthma athome. The aim of an Asthma ActionPlan is to recognize the early warningsigns of asthma and to take theappropriate steps.It helps you:

take control of your asthma,

know when to increase or decreaseyour medications so that yourasthma is well-controlled,

decide when you should seekemergency help.

What is an Asthma Action Plan?

Why use an Asthma Action Plan?

How do I get a customized Asthma Action Plan?

What would you do if?

Breathe

Page 2: Breathe - University of Torontothehub.utoronto.ca/family/wp-content/uploads/2016/12/... · 2016-12-04 · Breathe. Asthma Action Plan (Sample) Name: Doctor’s Name: Date: Hospital/Emergency

Asthma Action Plan (Sample)

Name:

Doctor’s Name:

Date:

Hospital/Emergency Room Phone Number:

Doctor’s Phone Number:

This Action Plan is a guide only. Always see a doctor if you are unsure what to do.

Green Zone – I have symptom-free asthma

I have no symptoms:I have no cough, wheeze, chest tightness orshortness of breathI do not cough or wheeze when I exerciseor sleepI can do all my usual activitiesI do not need to take days off work

I cough, wheeze, have chest tightness orshortness of breath during the day, when Iexercise, or sleepI feel like I am getting a cold or the flu I need to use my reliever inhaler more thanthree times a week for my asthma symptom

Any of the following: I have been in the Yellow Zone for 24 hoursMy asthma symptoms are getting worse My reliever does not seem to be helping I can not do any type of activityI am having trouble walking or talking I feel faint or dizzyI have blue lips or fingernails I am frightenedThis attack came on suddenly

Yellow Zone – I have asthma symptoms

Red Zone – I am in danger and need help

To remain symptom-free, I need to take these controller medications every day

I need to either increase my controller medication, or add on a different controller

Go directly to the nearest Emergency Room of your local hospital

M e d i c a t i o n How much to take When to take it

Take 2 puffs, every hours, as needed.(Reliever)

Increase to day, for days, or until you are back in the green zone.(Controller)

If no improvement in hours, call or visit your Doctor.

First

Second

First

Second

This is an emergency. Dial 911.

While waiting for the ambulance, take

2 puffs of every 10 minutes.(Reliever inhaler)