Asthma Diary for:
7400925-510540Asthma Diary for:for the month of:Please check the correct box or fill in the requested value.DateLast nightGood nightSlept ok, but some wheezing or coughingWoke up due to wheeze or coughBad night, kept waking upMorning peak flow(best of three)Activity today?Tolerated vigorous physical activityCould run only short distanceLimited to walking because of breathingHome because of breathing problemsWheezingNone todayBriefly, not troublesomeSeveral times but clearedContinuousCoughingNone todayPresent, but not troublesomeInterrupted activities onceInterrupted activities more than onceEvening peak flow(best of three)InterventionInhaled bronchodilators (# treatments) (ie albuterol, xopenex MDI or nebs)Corticosteroids (dose)Dr. Sheets (515) 868-0220Use back of page for notesNotes:09.10.2016 ................
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