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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. The information helps you and your health care provider take better care of your asthma. This may be something you can do with he. If your parent or guardian help from an adult.

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

Some kids use peak flow meters to measure how well their lungs are working. Write down your peak-flow numbers for the green, yellow, and red zones.

  • Green means doing well

  • Yellow means getting worse

  • Red means severe symptoms, caution

Then, using the chart, write each peak-flow reading on the matching zone line. Your health care provider 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 Medical Reviewer: Holloway, Beth, RN, M.Ed.
Online Medical Reviewer: MMI board-certified, academically affiliated clinician
Date Last Reviewed: 6/25/2014
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