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CENTRAL TEXAS ASTHMA ACTION PLAN Form
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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