Peak Flow and Symptom Diary
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1 Peak Flow and Symptom Diary
2 Name Regular Asthma Medications: reliever symptom controller GP preventer other Peak Flow Diary (2 week period) Date AM PM Comments 1/4 2/4 3/4 How to use your peak flow and symptom diary and graph Measure your peak flow every day, morning and night before taking your asthma medicine. Record your reading and how you are feeling in the daily diary. See example below. You can also record your readings on the graph. See example below. This will let you quickly pick up any changes or trends in your asthma control Feeling good today Sore throat/getting a cold Need my blue inhaler Peak Flow Graph (2 week period) AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM 550 4/ Still needing blue inhaler breathe, lungs, air, wind, vent 5/ Feeling a little better exhale, breeze, blow, gust, br 350 tilation, breath, puff, inhaler How many times did I wake last night because of asthma? How many puffs of reliever did I take today? breathe, lungs, air, wind, vent 5 2 Were my activities affected by my asthma? no no yes yes no exhale, breeze, blow, gust, br tilation, breath, puff, inhaler breathe, lungs, air, wind, vent exhale, breeze, blow, gust, br Date 700 L/min /4 2/4 3/4 4/4 5/4
3 How to use your peak flow meter PEAK FLOW METER 1 Sit upright 2 Slide marker hard up to the beginning of the groove 3 Hold meter level 4 Keep fingers clear of marker 5 Take a deep breath in 6 Close your lips around the mouthpiece 7 Huff out hard and fast PM ventilation, breath, puff, inhale breathe, lungs, air, wind, ven Get to know your breeze, asthma. aler, exhale, blow, gust Know when it s changing. ventilation, breath, puff, inhale breathe, lungs, air, wind, ven Peak Flowblow, and aler, exhale, breeze, gust Symptom Diary ventilation, breath, puff, inhale breathe, lungs, air, wind, ven 8 Repeat these steps twice 9 Record the best of three readings
4 Peak Flow Diary (2 week period) Date AM PM Comments How many times did I wake last night because of asthma? How many puffs of reliever did I take today? Were my activities affected by my asthma?
5 Peak Flow Graph (2 week period) Date 700 L/min AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
6 Peak Flow Diary (2 week period) Date AM PM Comments How many times did I wake last night because of asthma? How many puffs of reliever did I take today? Were my activities affected by my asthma?
7 Peak Flow Graph (2 week period) Date 700 L/min AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
8 Peak Flow Diary (2 week period) Date AM PM Comments How many times did I wake last night because of asthma? How many puffs of reliever did I take today? Were my activities affected by my asthma?
9 Peak Flow Graph (2 week period) Date 700 L/min AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
10 Peak Flow Diary (2 week period) Date AM PM Comments How many times did I wake last night because of asthma? How many puffs of reliever did I take today? Were my activities affected by my asthma?
11 Peak Flow Graph (2 week period) Date 700 L/min AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
12 Peak Flow Diary (2 week period) Date AM PM Comments How many times did I wake last night because of asthma? How many puffs of reliever did I take today? Were my activities affected by my asthma?
13 Peak Flow Graph (2 week period) Date 700 L/min AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
14 Peak Flow Diary (2 week period) Date AM PM Comments How many times did I wake last night because of asthma? How many puffs of reliever did I take today? Were my activities affected by my asthma?
15 Peak Flow Graph (2 week period) Date 700 L/min AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
16 Produced by the Advocacy & Education Committee of The Asthma and Respiratory Foundation of New Zealand (Inc) 2008 Asthma and Respiratory Foundation of New Zealand (Inc.) 05/2008 Photocopy permission granted Helping New Zealanders breathe easier Please call ASTHMA ( ) to make an automatic $20 donation All donations are appreciated The Foundation is a non-government charitable organisation providing education, research and advocacy on all respiratory conditions. UPDATED OCTOBER ASTH15
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