Asthma Peak Flow Chart Template
ADVERTISEMENT
1Asthma Peak Flow Chart
Name: ________________________________________ Week beginning: ____________________________
Peak flow zones: Green Zone: ________________ Yellow Zone: ________________ Red Zone: ___________
Prescribed medication (including dose & frequency):
Peak flow recording times: _____________AM _________________PM
Day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time
AM PM
AM PM
AM PM
AM PM
AM PM
AM PM
AM PM
600
550
500
450
400
350
300
250
200
150
100
Change in
medication
Notes
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Medical