My asthma has being very up and doctor over the last few months so I have been backwards and forwards to the doctors. My peak flow is like a spike mountain at the moment so before long I think I will start naming them lol. I am under a lot of stress at the moment due to personal issues.
I am on many different medications not just for asthma:
Salbutamol Breath- Actuated Inhaler -2 puffs as required
Fluticasone and Salmeterol Cfc- Free Inhaler 250 - two puffs twice a day
I take this inhaler with a spacer
Montelukast Sodium Tablets 10mg
One to be taken daily
Prednisolone when needed
Epilim Chrono M/R Tablets 500mg
One to be taken at night
Epilim Chrono M/R Tablets 200mg
One to be taken each morning
Fexofenadine HCL 120mg tablets
one to be taken in the morning
Azelastine 0.05% Eye Drops
Put one drop three times a day
]I went to see the asthma nurse at my surgery on the 10th April for my annual review. she asked my about my asthma and me to do a peak flow it was 380 so below my personal best. She asked if I had an asthma action plan, which I don't. She also asked me if I needed any steroids to keep at home and if I did she would speak to the asthma doctor. Later that afternoon the nurse rung and said for me to make an appointment with the doctor in 2 weeks. She said that my asthma was very unpredicable at the moment and asked if I had been in hospital just lately.
I booked to go and see the asthma doctor on 26th April to go through an action plan and to pick up a prescription for some more prednisolone to keep at home for if needed. He listened to my chest and asked my to do my peak flow. I show him my asthma diary that I have been keeping at home. He said my asthma was not fully under controlled so he wants to see me in 2 - 3 months to see how I am getting on.
My action plan:
If you are feeling well and your peak reading is above 380 you should take: 2 puffs of your sere tide inhaler twice a day 1 micrograms of montelukast tablets once a day. Take your blue, reliever inhaler (salbutamol) for unexpected coughing, wheezing or breathlessness.
If you are becoming increasingly breathless and having to use your blue reliever inhaler every 4 to 6 hours or more often or peak flow is between 220 and 380, you should take: 6 prednisolone tablets (5mg strength) immediately and every morning until your symptoms are better and your peak flow is above 380 for two days, then take 3 tablets every morning for the same number of days that it took you to get better and then stop the tablets. Let your doctor or nurse know within 24 to 36 hours that you have started a course of tablets. Also take 2 puffs of your seretide inhaler twice per day.
It is a medical emergency if your symptoms continue to get worse and your peak flow reading have fallen below 220. Get help immediately by telephoning your doctor or calling for an ambulance by dialling 999 or 911. You should take 8 prednisolone (steroid) tablets immediately (5mg strength). Under these circumstances it's fine to use you reliever inhaler every 5 - 10 minutes until you receive medical attention.
I am really nervous about taking my reliever in front of people i don't like people asking me if I am ok and so I try to take it away from people which is not always possible, as I work in a college with students with severe learning difficulties. So my job can be quite challenging at times.
I really hope that I never get to zone 4 as I have a real fear of hospitals.
Sorry for the long post I just hope my asthma get under control soon.