I went to see the asthma nurse today for my annual review, after asking all the usual questions about how my asthma was and what medication i was on.
My currant medication is:
Salbutamol Breath - Actuated Inhaler, Seretide 250 Inhaler 2 puffs twice a day, Montelukast Sodium Tablets 10mg, Loratadine Tablets 10mg, Mometasone Furoate Nasal Spray, Sodium Cromoglicate Eye Drops. When my peak flow is below 300 I start 40mg of Prednislone.
I had to do my peak flow which was 380, my best peak flow is 450 so a little bit below my best. She also checked my inhaler technique which she said was good. She asked if I had been in hospital just lately which I have not been in hospital for years. I am really scared of hospitals and I would not want to go there if I had a choice.
I told her that sometimes I wake up during the night needing my inhaler and sometimes I need to take it during the day. I also told her that I have been coughing up clear phelm over the last few weeks and that I was feeling quite tried.
I told her that I needed to take my prednislone about 2 weeks ago and asked her to ask the doctor for some more to keep at home. She said she would get some ordered from the asthma doctor and she would ask him to do an asthma management plan for me as I do not currently have one. The asthma nurse said my asthma was unpredictable and I may need to be seen by the asthma doctor as I am on quite high steroids at the moment.
This afternoon I had a phone call from the asthma nurse who said please could I make an appointment to see the asthma doctor in the next to weeks as he wanted to see how my asthma was and he may alter some of my medication as my medication is not properly under control. I have book an appointment for the 26th April at 5.10pm.
I am going to keep a peak flow dairy over the next couple of weeks to take with me when I go.
What is an Asthma management Plan? I do not know what the next step is for me? I don't know what the doctor is thinking of changing with my medication? I am nervous about my next visit!
Sorry for the long post.
Thanking you in advance for your ideas.