Asthma Action Plan Guidelines
The key to keeping your child's asthma under control is daily monitoring and giving your child the right asthma medication at the right time. Monitoring your child's asthma with a written plan is especially important if your child has moderate or severe asthma or has had serious asthma flare-ups (exacerbations). A written plan can help you and your child:
- Quickly recognize early warning signs of an asthma attack;
- Know when to adjust asthma medications
- Keep tabs on how well treatment is working
- Know when to call a doctor or seek emergency help
1. Work with your child’s doctor to develop a plan that's customized for your child. If your child is older, he or she may benefit from helping create the plan and using it to monitor how well treatment is working.
2.Manage your child's medications. Your plan lists your child's asthma medications and when to take them. Medications usually include daily control medications (such as inhaled corticosteroids) and as-needed, quick-relief (rescue) medications (such as inhaled albuterol). Know what medications you have on hand, their location and usage. If your child has a nebulizer to administer medication in mist form, the asthma action plan includes instructions for when to use it. Make sure the school nurse has medications needed during school hours.
3. Recognize and treat an asthma attack.Be on the lookout for warning signs — such as coughing, wheezing or shortness of breath — so you can take prompt action at the first sign of an asthma flare-up. Recognizing and treating an asthma flare-up before symptoms get bad is the best way to prevent a full-blown asthma attack. If your child does have an asthma attack, follow the action plan's instructions for using quick-relief medications and other steps to get asthma symptoms under control.
4. Take action based on peak flow readings. If your child is old enough to use one, some doctors recommend a peak flow meter to help monitor how well your child's lungs are working. When your child's peak expiratory flow reading (PEF) is low, you'll need to increase or add medications according to the action plan. Often, low peak flow readings are the first sign of an asthma flare-up.
5. Know when to seek emergency care. Some asthma attacks can't be managed at home. Use the action plan to recognize the signs of rapidly worsening asthma, such as difficulty speaking, using abdominal muscles to breathe or wide nostrils when breathing in. If your child uses a peak flow meter, the action plan will also tell you when low peak flow readings signal that your child's asthma attack has become an emergency.
6. Help your child avoid asthma triggers. The action plan has a place to list your child's asthma triggers. These vary from person to person — examples include cold air, pollen, dust mites, mold, exercise, pet dander, smoke or respiratory infections. Speak to your Doctor/nurse on how to avoid them.
Hand Scheduled 7. Track your child's long-term asthma control. Good overall asthma control is critical for preventing asthma flare-ups. If your child's asthma isn't under good long-term control, he or she is more likely to have bothersome symptoms and is at increased risk of an asthma attack. Signs of poorly controlled asthma mean you and your child need to meet with the doctor to review your child's asthma plan and make treatment changes. The Asthma Control Test (ACT) is a common way to measure how bothersome asthma symptoms have been over the past month. This test also tracks how often your child has needed to use a quick-relief (rescue) inhaler such as albuterol. See your child’s school nurse about The Asthma Control Test.