Home > Miscellaneous > Miscellaneous > Peak Flow Chart > Peak Flow Chart 1

Peak Flow Chart 1

At Speedy Template, You can download Peak Flow Chart 1 . There are a few ways to find the forms or templates you need. You can choose forms in your state, use search feature to find the related forms. At the end of each page, there is "Download" button for the forms you are looking form if the forms don't display properly on the page, the Word or Excel or PDF files should give you a better reivew of the page.

Peak Flow Chart 1
Peak Flow Chart 1
Woolcock Insitute of Medical Research T + 61 2 9515 8710
PO Box M77, Missenden Road NSW 2050 Australia F + 61 2 9550 5865
www.woolcock.org.au E [email protected]
© 2006 Woolcock Insitute of Medical Research
Peak Flow Chart
Patient Name: __________________________________________ Doctor Name: __________________________________________
Doctor Telephone: ______________________________________
1. Write the start date at the top of each page. Each page on this chart holds 8 weeks of peak flow readings.
2. For each day (e.g. Su for Sunday), there is a white column for your morning peak flow and a grey column for your evening peak flow.
3. Each morning and evening, record the
highest of three peak flows. Take a deep breath, seal your mouth tightly around the mouthpiece, then blow as hard
and as fast as you can. Check the number, re-set the pointer to zero, and repeat two more times.
4. Use a black pen to record the highest of the 3 peak flows on the chart – see example. Each square up the chart represents 10 on your peak flow meter.
5. Each night, use the box at the bottom to record the total number of puffs of reliever
medication (e.g. Ventolin) which you used in the last 24 hours.
Notes:
If you miss measuring your peak flow, don’t make up a number, just leave a gap. Talk
to your doctor or asthma nurse if you are having trouble recording your peak flow.
Always take the chart with you when you visit your doctor. Even if you don’t normally
record your peak flow, doing 2 weeks of readings before a visit may be helpful.
Use arrows on the chart to show where your medication changed, or you had a cold.
Remember to use the treatment on your Asthma Action Plan if your asthma gets worse
or your peak flow falls below your “action point”.
Peak Flow Chart 1
Previous

1/2

Next