Pef reference and chart

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Pef reference and chart

  1. 1. PEF is more useful in the monitoring of patients with established asthma, than in making the initial diagnosis3. Asthma Control Lost: if PEF drops below 80% predicted or personal best 2,3,3. Asthma Control Lost: if PEF diurnal variation is over 20 % over 1 week1 1. PEF measurement may be preformed sitting or standing3. 2. PEF measurement is preformed before the quick relief inhaler (FABD) 3. Further blows should be done if the largest 2 PEF are not within 40 l/min3. 4. PEF is the best of 3 forced expiratory blows from maximum inhalation and with a maximum pause of 2 seconds before blowing3. 5. Record the morning best of 3 PEF measurements as am for each day. 6. Record the evening best of 3 PEF measurements as pm for each day. Peak Expiratory Flow Facts and Figures. 7. Diurnal variation of PEF1: Measure am & pm PEF for 2 weeks. Diurnal variation = (highest – lowest)/highest X 100. Age (years)Adapted by Clement Clark for use with EN 1386/EU scale peak flow meter From Numm AJ Gregg I, Br Med J 1989:298;1068-70. (see reference 3) FPAGC 1. Lougheed MD et al; Canadian Thoracic Society 2012; Can Respir J Vol 19 No 2 March/April 2012 . 2. GINA Update 2011. http://www.ginasthma.org/uploads/users/files/GINA_Pocket_April20.pdf. 3. British Guideline on the Management of Asthma: A national clinical guideline; Revised January 2012;. 4. Guidelines for the Diagnosis and Management of Asthma; NIH Publication Number 08-5846. Oct 2007 Authored / Adapted by Dr. A. Ciavarella MD and Dr. A. Kaplan MD | Asthma Action Plan™ is a trademark of the Family Physician Airways Group of Canada The Asthma Action Plan™ is designed to be used only as a guide for educational purposes and does not replace physician’s advice.
  2. 2. Date Asthma Action Plan™ : Self Assessment Monitor [SAM] PEFbest/date = PEFpredicted = FPAGC 10 20 30 40 50 60 70 80 90 3 00 10 20 30 40 50 60 70 80 90 4 00 10 20 30 40 50 60 70 80 90 5 00 10 20 30 40 50 60 70 80 90 2 00 6 00 Peak Expiratory Flow: l/ min 10 20 30 40 50 60 70 80 90 1 00 1. PEF measurement may be preformed sitting or standing3. 2. PEF measurement is preformed before the quick relief inhaler (FABD) 3. Further blows should be done if the largest 2 PEF are not within 40 l/min3. 4. PEF is the best of 3 forced expiratory blows from maximum inhalation and with a maximum pause of 2 seconds before blowing3. 5. Record the morning best of 3 PEF measurements as am for each day. 6. Record the evening best of 3 PEF measurements as pm for each day. Peak Expiratory Flow Facts and Figures. 7. Diurnal variation of PEF1: Measure am & pm PEF for 2 weeks. Diurnal variation = (highest – lowest)/highest X 100 Authored / Adapted by Dr. A. Ciavarella MD and Dr. A. Kaplan MD | Asthma Action Plan™ is a trademark of the Family Physician Airways Group of Canada The Asthma Action Plan™ is designed to be used only as a guide for educational purposes and does not replace physician’s advice. 1. Lougheed MD et al; Canadian Thoracic Society 2012; Can Respir J Vol 19 No 2 March/April 2012 . 2. GINA Update 2011. http://www.ginasthma.org/uploads/users/files/GINA_Pocket_April20.pdf. 3. British Guideline on the Management of Asthma: A national clinical guideline; Revised January 2012;. 4. Guidelines for the Diagnosis and Management of Asthma; NIH Publication Number 08-5846. Oct 2007 Page __
  3. 3. 1. Lougheed MD et al; Canadian Thoracic Society 2012; Can Respir J Vol 19 No 2 March/April 2012 2. GINA Update 2011. http://www.ginasthma.org/uploads/users/files/GINA_Pocket_April20.pdf. 3. British Guideline on the Management of Asthma: A national clinical guideline; Revised January 2012; Scottish Intercollegiate Guideline Network (SIGN). www.brit-thoracic.org.uk . 4. Guidelines for the Diagnosis and Management of Asthma; NIH Publication Number 08-5846. Oct 2007 References: Asthma Guideline References: 1.Canadian Thoracic Society 2012 Guideline update; 2. GINA 2011; 3. SIGN 2012; 4. NAEPP – NIH 2007 Authored / Adapted by Dr. A. Ciavarella MD and Dr. A. Kaplan MD | Asthma Action Plan™ is a trademark of the Family Physician Airways Group of Canada The Asthma Action Plan™ is designed to be used only as a guide for educational purposes and does not replace physician’s advice. 4. Peek Expiratory Flow Predicted Values and Charting FPAGC 2014

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