WellSpan Home

Asthma Diary Template

Topic Overview

Week of ________________________

If I use a peak flow meter:

My personal best peak expiratory flow (PEF) is ________ .

  • My PEF for green zone is ___________ liters per second (80% to 100% of my personal best*).
  • My PEF for yellow zone is ___________ liters per second (50% to less than 80% of my personal best*).
  • My PEF for red zone is less than ________liters per second (less than 50% of my personal best*).

* To figure out 80% of personal best peak flow, multiply your personal best by 0.80. To figure out 50% of personal best peak flow, multiply your personal best by 0.50.

If your peak flow is lower than normal, check your asthma action plan or call your doctor.

My current controller medicines are _______________________________________.

Date

AM/PM peak expiratory flow (if I use a peak flow meter)

Trigger

Symptoms

Quick-relief medicine and response

Red zone visit to doctor or hospital?

Green

Yellow

Red

             
             
             
             
             
             

Credits

Current as ofSeptember 5, 2018

Author: Healthwise Staff
Medical Review: E. Gregory Thompson, MD - Internal Medicine
Adam Husney, MD - Family Medicine
Rohit K. Katial, MD - Allergy and Immunology


Are you sure you would like to cancel?

All information will be lost.

Yes No ×

About the provider search

This search will provide you with WellSpan Medical Group and Northern Lancaster County (Ephrata) Medical Group primary care physicians and specialists. If we don’t have a WellSpan Medical Group physician to meet your criteria, the search will expand to include community physicians who partner with WellSpan Medical Group physicians through the WellSpan Provider Network or provide care to patients on the Medical Staffs of WellSpan’s Hospitals.

×

Schedule Your Next Appointment Online with MyWellSpan

Use your MyWellSpan patient portal any time to view available appointments, and pick the date and time that best suits your schedule.

Go to MyWellSpan

New to this practice?

If you don't have a WellSpan primary care provider and would like to schedule a new patient appointment with a provider who is accepting patients, just log into your MyWellSpan account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to see the offices that are accepting new patients in relation to your zip code. If you are not enrolled in MyWellSpan, go to https://my.wellspan.org, call 1-866-638-1842 or speak with a member of the staff at a participating facility to sign up. New patient scheduling not available at all practices/programs.

Already a patient at this practice?

If you already have a relationship with a WellSpan practice, simply log into your account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to schedule an appointment with any provider or practice that already counts you as a patient. Online scheduling varies by practice/program.

×