Dr. Donald Levy, Allergy, Asthma, and Immunology, Orange County Ca

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Office Location:
705 W. La Veta Ave.
Suite 101
Orange, California  92868
(714) 639-7847


New Approaches to Treating Asthma: Weekly Asthma Symptom and Peak Flow Diary

The following is a sample Weekly Asthma Symptoms and Peak Flow Diary. You should write down your symptoms and peak flow numbers as directed by your doctor in your Weekly Asthma Symptoms and Peak Flow Diary.

___ My predicted peak flow
___ My personal best peak flow
___ My Green (All-Clear) Zone (80 percent to 100 percent of personal best)
___ My Yellow (Caution) Zone (60 percent to 80 percent of personal best)
___ My Red (Medical Alert) Zone (below 60 percent of personal best)


Date a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m. a.m. p.m.
Peak flow reading                            
No asthma symptoms                            
Mild asthma symptoms                            
Moderate asthma symptoms                            
Serious asthma symptoms                            
Medicine used to stop                            
Urgent visit to the doctor                            
  1. Take your peak flow reading every morning when you wake up and every night at bedtime. Try to take your peak flow readings at the same time each day. If you take an inhaled beta agonist reliever medication because your symptoms have become worse, take your peak flow reading before taking it and 15 minutes after taking it. Write down the highest reading of three tries in the box labeled "peak flow reading."
  2. Look at the box in the upper left to see if your number is in the Green, Yellow or Red Zone.
  3. In the space below the date and time, put an "X" in the box that matches the symptoms you have when you record your peak flow reading.
  4. Look at your asthma action plan for what to do when your number is in one of the zones and you have asthma symptoms.
  5. Put an "X" in the box beside "medication used" if you took extra asthma medication to stop your symptoms.
  6. If you made any visit to your doctor's office, emergency department or hospital for treatment of an asthma episode, put an "X" in the box marked "urgent visit." Tell your physician if you went to the emergency department or hospital.

No symptoms = No symptoms (wheezing, cough, chest tightness or shortness of breath) even with normal physical activity.

Mild symptoms = Symptoms during physical activity, but not at rest; they don't keep you from sleeping or being active.

Moderate symptoms = Symptoms while at rest; symptoms may keep you from sleeping or being active.

Serious symptoms = Serious symptoms at rest (possibly without wheezing); symptoms cause problems walking or talking; muscles in neck or between ribs are pulled when breathing.

Four Important Tips for Controlling Your Asthma:

  1. Follow your asthma action plan.
    • Follow your Green Zone plan every day to prevent asthma symptoms from starting.
    • Recognize your symptoms of an asthma attack and act quickly to stop them.
    • Follow the Yellow Zone plan to stop asthma symptoms and to keep an asthma episode from getting serious.
    • Follow the Red Zone plan to take care of a serious episode. This is an emergency plan.
  2. Whenever possible, stay away from the things that bring on your asthma symptoms. Follow your asthma trigger-control plan to reduce the number of substances in your home, workplace or classroom that bother your asthma.
  3. See your doctor regularly. Bring your asthma action plan to each doctor visit. Your doctor will mark on the plan what you should do.
  4. Maintain healthy habits. Make sure you get enough rest, eat a nutritious diet and follow your doctor's recommendations for any other health problems you might have.
This plan will help you control your asthma and know what to do if you have an asthma episode. Keeping your asthma under control will help you:
  • Be active without having asthma symptoms — even during exercise and sports.
  • Sleep through the night without having asthma symptoms.
  • Prevent asthma episodes.
  • Have the best possible peak flow number, which indicates that your lungs are working well.
  • Avoid side effects from unnecessary medication.
Important Information:

Telephone number

Telephone number

Telephone number

Friend/Relative to Call
Telephone number

Telephone number

Excerpted from Understanding Asthma Health Management Bulletin: Information for asthma patients and their friends

Medical Writer: Claudia Morain, Davis, Calif.ew Approaches to Treating Asthma: Your Appointment With Your Doctor

Last Updated: February 2005 by Steven R. White, M.D., Associate Professor of Medicine, University of Chicago, Pulmonary and Critical Care Medicine
© Original Copyright 1997 American Medical Association. Updated February 2005.

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