Learning About Peak Flow Meters for Teens

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What is peak flow?

Picture of 3 types of peak flow meters

Peak flow is how much air you breathe out when you try your hardest. You measure peak flow with a peak flow meter, an inexpensive device that you can use at home.

  • If you can breathe out quickly and with ease, you have a higher number. This means you have a higher peak flow. Your lungs are working well, and your asthma may not be bothering you.
  • If you can only breathe out slowly and with difficulty, you have a lower number. This means you have a lower peak flow. Your lungs are not working well, even if you are not having asthma symptoms.

Why should you measure peak flow?

It's good to know how well your lungs are working. One way to do this is by checking your peak flow with a peak flow meter. Your peak flow can tell you if your asthma is staying the same, getting better, or getting worse.

Checking your peak flow helps you control your asthma. Then asthma will not control you.

How do you use a peak flow meter?

Before you start, remove any gum or food you may have in your mouth.

  1. Put the pointer on the gauge of the peak flow meter to 0 or the lowest number on the meter.
  2. Attach the mouthpiece to the meter.
  3. Stand up, and take a deep breath.
  4. Close your lips tightly around the mouthpiece. Keep your tongue away from the mouthpiece.
  5. Breathe out as hard and as fast as you can for 1 or 2 seconds. A hard and fast breath usually makes a "huff" sound.
  6. Check the number on the gauge, and write it down. This is your peak flow.
  7. Repeat steps 1 through 6 two more times. Write down the highest of the three numbers in your asthma diary.

If you cough or make a mistake during the testing, do the test over.

How do you use peak flow to manage asthma?

Your action plan is based on zones of asthma severity. Your peak flow can help you find out what zone you are in. You do this by comparing your current peak flow to your personal best peak flow.

Your personal best is your highest peak flow recorded over a 2- to 3-week period when your asthma is under control.

  • Green zone. Green means go. You want to be in the green zone every day. You are in the green zone if your peak flow is 80% to 100% of your personal best. To figure 80% of your personal best, multiply your personal best by 0.80. For example, if your personal best flow is 400, multiplying by 0.80 gives you 320. So if your personal best is 400, you are in the green zone as long as your peak flow is 320 or higher.
  • Yellow zone. Yellow means caution. You are in the yellow zone if your peak flow is 50% to 79% of your personal best. To figure 50% of your personal best, multiply your best flow by 0.50. For example, if your personal best flow is 400, multiplying by 0.50 gives you 200. Your asthma action plan will tell you what to do when you are in your yellow zone.
  • Red zone. Red means STOP. You are in the red zone if your peak flow is less than 50% of your personal best. Your symptoms may be severe, and you may have extreme shortness of breath and coughing. Get medical help right away, and follow your action plan. You may need emergency treatment or admission to a hospital.

Each meter is a little different. If you change meters, you will need to find your asthma zones using the new meter.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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