Peak Flow and Symptom Diary · 2016. 4. 12. · symptom diary and graph 450 Feeling a little better...

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Peak Flow and Symptom Diary

breathe, lungs, air, wind, ventilation, breath, puff, inhalerexhale, breeze, blow, gust, breathe, lungs, air, wind, ven

entilation, breath, puff, inhaler, exhale, breeze, blow, gustexhale, breeze, blow, gust, breathe, lungs, air, wind, venbreathe, lungs, air, wind, ventilation, breath, puff, inhaler

entilation, breath, puff, inhaler, exhale, breeze, blow, gustexhale, breeze, blow, gust, breathe, lungs, air, wind, venbreathe, lungs, air, wind, ventilation, breath, puff, inhaler

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?

Name GP

Regular Asthma Medications:

reliever preventer

symptom controller other

Peak Flow Diary (2 week period)

Date AM PM Comments

Feeling good today

Sore throat/getting a cold

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

Date

L/min1/4

2/4

3/4

4/4

500

500

430

4 10

520

460

400

400

5/4 440

Need my blue inhaler

Still needing blue inhaler

1/4 2/4 3/4 4/4

0 0 2 02

0 3 5 25

5/4

How to use your peak flow and symptom diary and graph

450 Feeling a little better

no yes noyesno

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• Measureyourpeakfloweveryday,morningandnightbeforetaking yourasthmamedicine.

• Recordyourreadingandhowyouarefeelinginthedailydiary. Seeexamplebelow.

• Youcanalsorecordyourreadingsonthegraph.Seeexamplebelow. Thiswillletyouquicklypickupanychangesortrendsinyourasthmacontrol.

breathe, lungs, air, wind, ventilation, breath, puff, inhalerexhale, breeze, blow, gust, breathe, lungs, air, wind, ven

entilation, breath, puff, inhaler, exhale, breeze, blow, gustexhale, breeze, blow, gust, breathe, lungs, air, wind, venbreathe, lungs, air, wind, ventilation, breath, puff, inhaler

entilation, breath, puff, inhaler, exhale, breeze, blow, gustexhale, breeze, blow, gust, breathe, lungs, air, wind, venbreathe, lungs, air, wind, ventilation, breath, puff, inhaler

How to use your peak flow meter

Situpright

Slidemarkerharduptothebeginning ofthegroove

Holdmeterlevel

Keepfingersclearofmarker

Takeadeepbreathin

Closeyourlipsaroundthemouthpiece

Huffouthardandfast

Repeatthesestepstwice

Recordthebestofthreereadings

Get to know your asthma.Know when it’s changing.

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AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM

PEAK FLOW METER

Peak Flow and Symptom Diary

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?

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 AM PM AM PM

Date

700

650

600

550

500

450

400

350

300

250

200

150

100

50

L/min

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?

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 AM PM AM PM

Date

700

650

600

550

500

450

400

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300

250

200

150

100

50

L/min

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?

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 AM PM AM PM

Date

700

650

600

550

500

450

400

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300

250

200

150

100

50

L/min

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?

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 AM PM AM PM

Date

700

650

600

550

500

450

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300

250

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100

50

L/min

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?

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 AM PM AM PM

Date

700

650

600

550

500

450

400

350

300

250

200

150

100

50

L/min

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?

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 AM PM AM PM

Date

700

650

600

550

500

450

400

350

300

250

200

150

100

50

L/min

UPDATED OCTOBER 2013 - ASTH15

ProducedbytheAdvocacy&EducationCommitteeofTheAsthma

andRespiratoryFoundationofNewZealand(Inc)2008

©AsthmaandRespiratoryFoundationofNewZealand(Inc.)05/2008Photocopypermissiongranted

info@asthmafoundation.org.nz www.asthmafoundation.org.nz

HelpingNewZealandersbreatheeasier Pleasecall09004ASTHMA(09004278462)tomakeanautomatic$20donation

Alldonationsareappreciated

TheFoundationisanon-governmentcharitableorganisationproviding

education,researchandadvocacyonallrespiratoryconditions.