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Asthma Diary

An asthma diary helps you keep track of how well you are managing your asthma. You record your peak expiratory flow (PEF), your symptoms and what triggers them, and the quick-relief medicine you use to relieve the symptoms.

Measure your PEF often, every morning and evening if possible, and record it in your diary. If you have symptoms or an asthma attack, record the trigger (if possible), the symptoms, and what kind of medicine you used for relief and how well it worked. Also note if you had to contact your doctor or seek emergency care. This can help you know your triggers and help your doctor monitor your treatment.

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It may be helpful to record your PEF using the same green, yellow, and red zone system used in your asthma action plan.

Here is an example of how to use an asthma diary.

Week of October 12

My personal best is 400 liters per second. My:

Green zone is 320 to 400 liters per second (80% to 100% of my personal best). To figure 80% of your personal best peak flow, multiply your best flow (in this example, 400) by 0.80 (in this example, you get 320).
Yellow zone is 200 to 319 liters per second (50% to less than 80% of my personal best). To figure 50% of your personal best peak flow, multiply your best flow (in this example, 400) by 0.50 (in this example, you get 200).
Red zone is less than 200 liters per second (less than 50% of my best).

My current long-term medicines are fluticasone and salmeterol.

**Example of an asthma diary**
Date	AM/PM PEF			Trigger	Symptoms	Quick-relief medicine and response	Red zone visit to doctor/hospital?
Date	Green	Yellow	Red	Trigger	Symptoms	Quick-relief medicine and response	Red zone visit to doctor/hospital?
Monday	350 a.m.	300 p.m.				Beta2- agonists Improved PEF	No
Tuesday			190	Swimming	Wheezing	Beta2- agonists Eliminated wheezing	No

Click here for a blank asthma diary template(What is a PDF document?).

By	Healthwise Staff
Primary Medical Reviewer	E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer	Rohit K Katial, MD - Allergy and Immunology
Last Revised	February 13, 2011

WebMD Medical Reference from Healthwise

Last Updated: February 13, 2011

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.