Asthma - make peak flow a habit; Reactive airway disease - peak flow; Bronchial asthma - peak flow
Asthma attacks do not usually come on without warning. Most times, they build slowly. Checking your peak flow can tell you if an attack is coming, sometimes before you have any symptoms.
Peak flow can tell you how well you blow air out of your lungs. If your airways are narrowed and blocked due to asthma, your peak flow values drop.
You can check your peak flow at home with a small, plastic meter. Some meters have tabs on the side that you can adjust to match your action plan zones (green, yellow, red). If your meter does not have these, you can mark them with colored tape or a marker.
Write down your peak flow scores (numbers) on a chart or diary. Many brands of peak flow meters come with charts. Make a copy of your chart to bring with you when you see your health care provider.
Next to your peak flow number also write:
Once you know your personal best, take your peak flow:
Check to see which zone your peak flow number is in. Do what your provider told you to do when you are in that zone. This information should be in your action plan.
Do your peak flow 3 times and record the best value every time you check it.
If you use more than one peak flow meter (such as one at home and another one at school or work), be sure that all of them are the same brand.
Kercsmar CM, Mcdowell KM. Wheezing in older children: asthma. In: Wilmott RW, Deterding R, Li A, et al, eds. Kendig's Disorders of the Respiratory Tract in Children. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 45.
Miller A, Nagler J. Devices for assessing oxygenation and ventilation. In: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 2.
National Asthma Education and Prevention Program website. How to use a peak flow meter. www.nhlbi.nih.gov/health/public/lung/asthma/asthma_tipsheets.pdf. Updated March 2013. Accessed April 22, 2022.
National Heart, Lung and Blood Institute. Asthma Management Guidelines: Focused Updates 2020. www.nhlbi.nih.gov/health-topics/asthma-management-guidelines-2020-updates. Updated February 4, 2021. Accessed January 8, 2022.
Vishwanathan RK, Busse WW. Management of asthma in adolescents and adults. In: Burks AW, Holgate ST, O'Hehir RE, et al, eds. Middleton's Allergy: Principles and Practice. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 52.BACK TO TOP
Review Date: 1/8/2022
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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