Asthma nurse

I'm new here

I have moved house and been to see a new asthma nurse.

She has left me totally confused.

On my asthma plan now 437 is green, 350 is amber, 250 is red.

I have no symptoms and am happily controlled

yet my peak flowreading is sat between red and amber.

if i went to a and e I would be told chest is clear, no wheeze, no cough etc and it would be the truth. I have no symptoms just a low peak flow.

I do not think the new asthma nurse has done my plan correct or is there a change in guidelines.

does anyone know the peak flow percentages for increasing asthma medication or indedd seeking medical attention because surely i am not meant to seek attention with no symptoms other than low peak flow?!

[Hidden]

Hi that doesn't sound right. I can't help really I'm afraid coz no asthma nurse has never done an action plan with me. I hope you find some answers.

[fastball]

hi I havent got asthma but I have COPD when I have a chest infection my peak flow goes down to 150 there abouts but under 200. I have sats of 95-6 but that is good peak flow at moment 250 never any more. I was originally diagnosed with asthma but alas its not.

Hope you get some answers to your question . XXX

Chris

[shadow4me]

I have been told everyones peak flow is different depending on weight size ect and that men normally have higher than women I'm not sure though I dont know if this is true I have never had a good peak flow and to be honest I never can get the technique right and it varies at every blow lol before I had copd I was only 250 but am of small build ,It would be best to ask your nurse to explain this plan xx

[Badbessie]

I would not worry your peak flows, Spirometry etc can be affected by numerous things even the time of day. If your chest is clear etc then it's fine. Nurses tend to follow guidelines and it can cause unnecessary worry if a full explanation is not given.

[MoyB]

Just a word of caution. I saw the doctor this week and announced that my chest was getting better and I am not wheezing. She listened to my chest and said that it was still bad - I had crackles and was wheezing and needed prednisilone alongside the amoxicillin I am already taking. Now, as my chest felt pretty good to me, I was surprised to hear this news. Just saying! It seems I don't know my chest condition as well as I thought. Perhaps the same is true for you. Why not make contact with the nurse on Monday and check things out?

[soulsaver]

Peak Flow measures in asthma are personal to you and to minimise variance should be taken morning & evening approx. same times daily to minimise variance, and are usually recorded in a graph.

Using the graph you & yr asthma nurse determine your red amber green scores to warn of an attack or infection & take appropriate action.

Is that the process that resulted in those scores?