Preparing for Your Asthma Check-up
If you have asthma and have taken daily medicine at any time during the past 12 months for your asthma, please schedule an asthma check-up with your doctor at least twice a year. If any changes are made in your daily asthma medicines, schedule a follow-up asthma visit in three months or sooner, per your doctor’s instruction.
If your asthma is not in good control, schedule a visit with your doctor. Signs that may mean your asthma is not in control are if:
- You take your rescue/quick relief inhaler (i.e. albuterol, Xopenex®) twice a week for two weeks or more (unless you have exercise-induced asthma).
- You wake up from sleep because of asthma symptoms more than two nights per month.
- You refill your rescue/quick relief inhaler (i.e. albuterol, Xopenex®) more than twice a year.
Please bring the items listed below to each asthma appointment:
- Asthma medication and equipment – Bring all your inhalers, spacers, nebulizers with tubing and medication holders and other medicine devices.
- Asthma Check-up Questionnaire – This form can be found from the home page of Palo Alto Medical Foundation website. Please print and complete this form prior to your visit. http://www.pamf.org/asthma/schools/asthmacheckupquestions.pdf
- Asthma Control Test - This form can be found from the Palo Alto Medical Foundation website at http://www.asthmacontrol.com/. Please print and complete this form prior to your visit. Make sure to complete the Asthma Control Test for the specific age of the patient, 4-11 or 12 and over. If the visit is for a child under age 4, complete the 12 or over form for him or her.
- Asthma action plan – Bring the asthma action plan you are currently using.
- Personal Best Peak-flow number – If you use a peak-flow meter and have identified your very best peak-flow number, bring that number to your appointment. If you have not identified your best peak flow, visit our website for instructions. http://www.pamf.org/asthma/selfcare/peakflow.html
- What medications you are taking
- How often you are taking your controller medicine
- How often you use your quick relief/rescue medicine
- What asthma symptoms you are having
- How you are sleeping at night
- How asthma affects your daily activity
- Your peak-flow readings, if you take them
- Problems or difficulties you are having managing your asthma