Asthma Action Plan

#Asthma Action Plan Take this Asthma Action Plan with you when you visit your doctor. Patient Details: Doctor's contact details: Emergency contact: - Name: - Phone: - Relationship: [ YOUR ASTHMA MEDICINES ] PREVENTERS: Your preventer medicine reduces inflammation, swelling and mucus in the airways of your lungs. Preventers need to be taken every day, even when you are well. Some preventer inhalers contain 2 medicines to help control your asthma (combination inhalers). You should use a spacer if you use an aerosol-type preventer. -> YOUR PREVENTER IS (name and strength): RELIEVERS: Your reliever medicine works quickly to make breathing easier by making the airways wider. Always carry your reliever with you – it is essential for first aid. Do not use your preventer inhaler for 
quick relief of asthma symptoms unless your doctor has told you to do this. -> YOUR RELIEVER IS (name): [ WHEN WELL ] This means asthma under control (almost no symptoms): * you have no night-time wheezing, coughing or chest tightness * you only occasionally have wheezing, coughing or chest tightness during the day * you need reliever medication only occasionally or before exercise * you can do your usual activities without getting asthma symptoms * Peak flow^ (if used) is above: ? * Always carry your reliever with you. PREVENTER -> take ? puffs ? times every day. RELIEVER -> take ? puffs when you have symptoms like wheezing, coughing or shortness of breath. Other instructions: (e.g. other medicines, trigger avoidance, what to do before exercise) [ WHEN NOT WELL ] Asthma getting worse (needing more reliever than usual, having more symptoms than usual, waking up with asthma, asthma is interfering with usual activities). This means any ONE of these: * you have night-time wheezing, coughing or chest tightness * you have morning asthma symptoms when you wake up * you need to take your reliever more than usual * your asthma is interfering with your usual activities * Peak flow^ (if used) is between ? and ? * THIS IS AN ASTHMA FLARE-UP PREVENTER -> take ? puffs ? times every day. RELIEVER -> take ? puffs every ? [ IF SYMPTOMS GET WORSE ] Severe asthma flare-up/attack (needing reliever again within 3 hours, increasing difficulty breathing, waking often at night with asthma symptoms). This means: * you have increasing wheezing, cough, chest tightness or shortness of breath * you are waking often at night with asthma symptoms * you need to use your reliever again within 3 hours * Peak flow^ (if used) is between ? and ? * THIS IS A SEVERE ASTHMA ATTACK -> SEVERE FLARE-UP PREVENTER - take ? puffs ? times every day. RELIEVER - take ? puffs every ? Prednisolone/prednisone -> take: ? mg each day (with food) for ? days. Contact your doctor TODAY [ DANGER SIGNS ] Asthma emergency (severe breathing problems, symptoms get worse very quickly, reliever has little or no effect). This means: * your symptoms get worse very quickly * you have severe shortness of breath, can’t speak comfortably or lips look blue, you get little or no relief from your reliever inhaler * Peak flow^ (if used) is below: ? CALL AN AMBULANCE IMMEDIATELY – DIAL 000 SAY "THIS IS AN ASTHMA EMERGENCY". KEEP TAKING RELIEVER AS OFTEN AS NEEDED ^ Peak flow is not recommended for children under 12 years. Based on a template developed by the National Asthma Council Australia (2015).

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Daily doses of inhaled corticosteroids for people ≥12 years

Daily dose → ↓ Agent	Low	Medium	High
Beclomethasone	80 – 200 mcg	200 – 400 mcg	400 – 800 mcg
Budesonide	180 – 400 mcg	400 – 800 mcg	800 – 2400 mcg
Ciclesonide	100 – 200 mcg	200 – 400 mcg	400 – 800
Fluticasone propionate	100 – 250 mcg	250 – 500 mcg	500 – 2000 mcg
Fluticasone furoate	50 mcg	100 mcg	200 mcg
Mometasone	200 mcg	200 – 400 mcg	400 – 800 mcg

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