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CENTRAL TEXAS ASTHMA ACTION PLAN  Form

CENTRAL TEXAS ASTHMA ACTION PLAN Form

Use a asthma action plan template to make your document workflow more streamlined.

Help from a doctor. PREDICTED NORMAL PEAK FLOW READING: ________________lpm Please classify this patient’s asthma. Refer to these choices adopted from the NIH Asthma Management Guidelines. Asthma Classification by Physician: ( ) Mild intermittent ( ) Moderate persistent ( ) Mild persistent ( ) Severe persistent Classification Days with symptoms Nights with symptoms Severe persistent Moderate persistent Mild persistent Mild intermittent Continual Daily > 2/week < 2/week Frequent >...
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