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A Kids' Asthma Journal

Do you want to gain better control over your asthma? Put it in writing! By following the examples below, you can use a journal to track day-to-day changes in your asthma. This may be something you can do with a parent's or guardian's help. If your parent or guardian has asthma, he or she can also use a journal to track his or her own symptoms, too.

Make copies of this page before you write on it so you can use it again!

Starting date: ____________________

Symptoms

Check the boxes below to show when you had symptoms.

 

 

Sunday

Monday

Tuesday

Wednesday

Thursday 

Friday   

Saturday

 

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.

Coughing

       /

       /

        /

         /

         /

        /

        /

Wheezing

       /

       /

        /

         /

        /

       /

        /

Breathing problems

       /

       /

        /

         /

        /

       /

        /

Chest tightness

       /

       /

        /

         /

        /

       /

        /

Peak flow

This is a measure of how well your lungs are working. Below, write down your peak-flow numbers for the green (doing well), yellow (getting worse), and red (medical alert) zones. Then, using the chart, write each peak-flow reading on the matching zone line. Your doctor can help you understand your numbers and tell you what to do about yellow and red readings.

Green: Your peak flow is more than _________

Yellow: Your peak flow is between _________ and  ______________                   

Red: Alert! Your peak flow is less than  _______________                        

  

 

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday   

Saturday

 

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.

Green

        /

       /

        /

        /

       /

        /

       /

Yellow

        /

       /

       /

        /     

       /

        /

       /

Red

        /

       /

        /

        /

        /

        /

       /

 

 

 

Online Resources

Asthma Action Plan, American Academy of Family Physicians  http://familydoctor.org/online/famdocen/home/common/asthma/basics/696.html
American Academy of Allergy, Asthma and Immunology  http://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Libraries/NEW-WEBSITE-LOGO-asthma-action-plan_HI.pdf
American Academy of Allergy, Asthma, and Immunology  http://www.aaaai.org/professionals/asthma-action-plan.pdf
CDC  http://www.cdc.gov/asthma/actionplan.html
CDC  http://www.cdc.gov/asthma/parents.html
Controlling Your Asthma, American College of Chest Physicians, 2004  http://www.chestnet.org/downloads/patients/guides/controllingYourAsthma_eng.pdf
What Is Asthma? National Heart, Lung, and Blood Institute, May 2006  http://www.nhlbi.nih.gov/health/dci/Diseases/Asthma/Asthma_All.html
National Heart, Lung, and Blood Institute  http://www.nhlbi.nih.gov/health/public/lung/asthma/asthma_actplan.htm

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