Assess respiratory function questions
1. Perform hand hygiene.
2. Identify the patient.
3. Close door or bed curtains and explain the purpose of
peak flow monitoring to the patient and the family.
4. Place indicator at the base of the numbered scale. Have
patient stand up.
5. Tell the patient to take a deep breath, then place the meter
in his or her mouth. The patient should close the lips
around the mouthpiece. Remind the patient not to put his
or her tongue in the hole.
6. Tell the patient to exhale as fast and as hard as he or she
can, keeping a tight fit around the mouthpiece.
7. Repeat steps 4 through 6 twice more, and record the high-
est peak flow obtained in the three attempts.
8. To determine “personal best” when beginning peak flow
monitoring, obtain peak flow measurements in the morn-
ing and again in the evening over a 2-week period of good
asthma control (feeling good without any asthma symp-
toms). The patient should take measurements before using
bronchodilators.
9. Healthcare provider will calculate zones based on percent-
age of personal best (green 80% to 100%, yellow 50% to
80%, red below 50%) and give instructions for what to do
when in each zone.
10. Encourage patient to comply with twice-a-day (morning
and evening) peak flow monitoring before bronchodilator
therapy and follow healthcare provider’s instructions for
peak flows in each zone. Follow steps 4 through 7.
11. Document
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