Asthma Action Plan

The primary purpose of this tool is for doctors to make action plans for their patients. Parents/guardians may also use it to document their child's treatment plan but should select "Parent Completed" from the options below and should ensure that the child's school etc are aware the plan was produced by a parent

Patient's name:
UR number:
CompletingDoctor:

or

  click on a name, then type 1st initial you are searching for repeatedly (or use scroll buttons ).
  The highlighted name will appear on the printed plan.

Preventers

If you enter no preventer details then the entire section will be omitted from the printed plan.

Medication 1
 
Medication 2
 
Other Preventer instructions
   
Do you wish to include instructions for what to do if symptoms are induced by sport

If you indicate yes a sentance suggesting 2 puffs of the reliever pre sport will appear on the plan

Reliever medication

  
     You must specify a reliever medication and dose

Dose of prednisolone for acute exacerbations
If you enter no prednisolone details then the entire section will be omitted from the printed plan.
It is generally recommended that the family commence prednisolone for acute episodes which do not respond to bronchodilator alone - approx 1mg/kg daily, rounded to nearest convenient dose in mls or halves of 25mg tabs, max dose 50mg

Prednisolone mg daily for 3 days.  

Prednisolone comment:  
  

Other general instructions for attacks
   


Current Episode

Do you wish to include specific information for the current episode

If yes, the following general instructions will be printed on your patients Asthma Plan

  • Take your reliever as often as required until symptoms settle.
  • See your doctor or return to hospital if symptoms are getting worse or not settling. 
  • Remember to continue your usual dose of preventer medication if you have one.

  • Take the prescribed dose of prednisolone

You should print 3 copies of the generated action plan - one for the family, one for the notes, and one for the GP.

If you have any comments or feedback you would like to give us on the Asthma action Plan please email Mike South

Click here to download a stand alone version of the Action Plan Generator

 

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