Clinical Hub,Patient Education,Health and Nutrition Facts For You,Respiratory

Adult and Pediatric Asthma Treatment Plan (6129)

Adult and Pediatric Asthma Treatment Plan (6129) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Respiratory


Asthma Action Plan

What is an Asthma Action Plan?

An asthma action plan is a written guide to help people be aware of their asthma
symptoms and what medicines to use and when to take them.
There are usually three zones or steps in the asthma action plan. If peak flows are
used, the readings are also part of the plan.

Green zone: asthma is doing very well

ξ Symptoms:

o Breathing: Easy
o Nighttime asthma cough: Rare
o Exercise-induced symptoms: Mild, easily treated
o Peak flow: 80% or greater of personal best

ξ Medicines:

o Controller medicine, if prescribed: Take daily
o Rescue medicine: Used as needed for quick-relief or before exercise

If you have first signs of a cold or are having asthma symptoms (cough, wheezing),
begin the yellow zone. It is best to start the yellow zone the same day you first
notice symptoms.

Yellow zone: asthma getting worse

ξ Symptoms:

o Cough, wheezing, chest tightness
o Nighttime awakenings: some
o Can do some, but not all, usual activities
o Peak flow: 50-79% of personal best

ξ Medicines:

o “Step-up” medicine added (such as inhaled corticosteroid)
o Rescue medicine: every 3-4 hours as needed for symptoms

Continue the yellow zone until symptoms are better plus 2 more days, then return
to the green zone. If symptoms are not improving after 5 days in the yellow zone,
or getting worse, go to the red zone.

Red zone: severe asthma signs, yellow zone medicines are not helping

ξ Severe Symptoms:

o Cough and/or wheezing: almost all of the time
o Nighttime awakenings: Frequent
o Breathing: Fast
o Shortness of breath
o Peak flow: Less than 50% of personal best

ξ Medicines:

o Rescue medicine: use right away and repeat in 15-20 minutes if
needed for symptoms; call or see your doctor
o “Step-up” medicine added: oral corticosteroids (such as prednisone)

Call the doctor or 911 immediately if:

o Not able to talk in complete sentences
o Not able to walk due to difficult breathing
o Pulling in of chest and/or neck muscles with each breath
o Not responding to rescue medicine (albuterol)
o Lips or nail beds are turning blue

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 11/2015 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6129