Download Asthma action plan PDF FILE. An Asthma Action Plan is an individualized, step-by-step document you create with your doctor that will help you understand how to best treat your asthma symptoms before they get worse. Martin P. Wedig). Child Asthma Action Plan (Samoan) This brochure is an asthma action plan for doctors to complete and give to child patients and their parents/caregivers. E Management Approach … You can change your ad preferences anytime. Minnesota Department of Health’s interactive Asthma Action Plan is a computer-based program that uses information entered by the healthcare provider to create a personalized plan for each patient. Other Therapy: Take puffs as needed and before exercise. Asthma action plans (AAPs) reduce healthcare utilisation, improve quality of life and are recommended across guidelines. Based on NAEPP Guidelines 2007 and modified with permission from the D.C. Asthma Action Plan via District of Columbia, Department of Health, D.C. Control Asthma Now, Discuss the school’s Asthma Management Plan, what asthma education and Asthma First Aid training is provided to teachers and school staff Ensure your school has an air quality plan If you haven’t already, book an appointment with your child’s doctor to obtain a written Asthma Action Plan for School (and an updated one for home if there are any changes made). The Global Initiative for Asthma (GINA) 2015 update also recommends that all patients with asthma be provided with a written asthma action plan, indicating that this recommendation has an evidence category of A, described as being based on a “rich body of data.” 2 GINA states that “the essential components of effective guided asthma self-management include self-monitoring of … 3. An asthma action plan is a written document that teaches people how to control one’s asthma during emergency situations. Use the school-aged asthma action plan, Asthma Action plan for Home and School that includes language for school-aged children to self-carry their asthma inhaler in school. ASTHMA ACTION PLAN what to look out for ASTHMA MEDICINES PREVENTERS Your preventer medicine reduces inflammation, swelling and mucus in the airways of your lungs. Background: While all asthma consensus statements recommend the use of written action plan (WAP) as a central part of asthma management, a recent systematic review of randomised trials highlighted the paucity of trials where the only difference between groups was the provision or not of a written action plan. Established in 1993. written action plans on asthma health outcomes, RCTs that evaluated asthma action plans were identified. See our User Agreement and Privacy Policy. However, fewer than 25% of patients receive an AAP, partly due to prescribers' inability to complete “yellow zone” instructions (how to intensify therapy for acute loss of control). Once you have it written, you need use the plan every day to keep up with your asthma. These vary from person to person — examples include exercise, cold … If you continue browsing the site, you agree to the use of cookies on this website. Asthma has become more common in both children and adults around the world in recent decades. The aim of an asthma action plan is to help the person with asthma and/or their carer take early action to prevent or reduce the severity of an asthma attack. POCKET GUIDE FOR Asthma-Notfall – Was tun? It tells you what to do if you or your child has a sudden increase in asthma symptoms (asthma attack). My Asthma / Wheeze Plan for Home, School, and Nursery SYMPTOMS ACTION DOB: Hospital No: Plan By: Date: 1 • I am well • I have no cough/wheeze • I am doing normal activities I need to take my normal medication of: Take puffs every morning and evening. Clipping is a handy way to collect important slides you want to go back to later. As asthma action plan should include the following information: the date of creation, the patient’s name, his doctor’s name, the name and contact details of an emergency contact person. You will need to scroll down to see all of the zones and options. Blank copies of this form may be reproduced or downloaded from www.virginiaasthmacoalition.org. Jugendliche Erwachsene Kinder &. PROPER EDUCATION IS NECESSARY. Clinicians need to be aware of the changes and the evidence behind them. GINA 2020 specifies which step of management is to be followed according to the patient's symptoms in an easy flowchart. 1. It is evidence-based and clinically oriented, and relevant to both low and high resources countries. The best thing to do: • Keep furred or feathered pets out of your home. Keywords: Learn More, Breathe Better RI OR b. NZ Asthma Guidelines - Quick Reference Guide. The economic cost of asthma is considerable both in terms of direct medi… Diese Seite wurde zuletzt am 16. ER The Global Initiative for Asthma (GINA) was established in 1993 in collaboration with the National Heart, Lung and Blood Institute and the World Health Organization, under the leadership of Drs Suzanne Hurd and Claude Lenfant, with the goals of disseminating information about asthma management, and providing a mechanism to translate scientific evidence into improved asthma care. China released its first children's asthma action plan in 2017 to improve asthma control. An Asthma Action Plan allows you and your healthcare provider to create a personalized program for managing your asthma. UC Based on feedback received from clinicians, these topics have been brought together into a single chapter in the GINA report, to provide a continuum for treatment and follow-up. An asthma action plan may also be called an asthma management plan. It tells you what to do and what medicine to use when the asthma is under control. ARIA 10 años: Primera Guía basada en la evidencia, Customer Code: Creating a Company Customers Love, Be A Great Product Leader (Amplify, Oct 2019), Trillion Dollar Coach Book (Bill Campbell). Start an Asthma Journal. A Our goals include improving diagnoses, management and prevention of asthma by stimulating research, and providing evidence-based educational resources for worldwide use. A range of action plans are available on the website – please use the one that best suits your patient. You can use the asthma Action Plan and symptom diary to help manage your child's asthma and prevent an attack. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. work, play, and exercise P Nighttime awakenings with symptoms OR P Peak flow ____ to ____ (50% to 80% of personal best) RED ZONE: Alert! Work with health care professionals and public health officials around the world. Some preventer inhalers contain 2 medicines to help control your asthma (combination inhalers). If you can, print out a copy to take to your GP or asthma nurse. Choose the correct age group’s SmartForm by clicking appropriate link. Send to print the letter if you selected 5.Print and Save to Chart (sends to the printer that prints your prescriptions). The National Review of Asthma Deaths (NRAD) highlighted that there were many cases where lives could have been saved if only people had taken medicines regularly as prescribed, carried a reliever inhaler and sought help much earlier when their asthma got worse. Wenn möglich Peak-Flow messen: Das Protokollieren Ihrer Beschwerden und Ihrer Peak-Flow-Werte in einem Asthma-Tagebuch ist wichtig, um den Krankheitsverlauf zu beobachten. 3. Breathlessness Strategies for COPD. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. A pocket guide produced by Global Inititiative for Asthma (GINA) to help patients understand their asthma . Die GINA-Leitlinien werden auf der GINA-Website in Form so genannter "Pocket Guides" in mehreren Sprachen zum Download angeboten. Allergens Animal Dander Some people are allergic to the flakes of skin or dried saliva from animals with fur or feathers. Previous GINA reports have presented recommendations about written asthma action plans within the context of asthma education, and separate from treatment of acute asthma in primary care or acute care settings. When in the green zone: The person does not have any symptoms of an asthma attack. Objective: To assess the effectiveness of the Chinese Children's Asthma Action Plan (CCAAP) in the management of children with asthma. Strategies for Avoiding Common Allergens and Pollutants 12 Component 3. How to use an asthma action plan Develop your plan. Now customize the name of a clipboard to store your clips. Your action plan won't "cure" your child's asthma, but it can make a huge difference in how well they keep it under control. When your child has an asthma flare, it's natural to worry that they're in serious trouble or wonder if they just need a tweak to their medicine. We sought to review best evidence to develop a practical, evidence-based tool to facilitate yellow zone guidance in … Leitlinie. There are three zones: green, yellow, and red. Mit GINA (Asthma) und GOLD (COPD) stehen Leitlinien zur Verfügung, die eine individualisierte Therapie erlauben und eine gute Symptomkontrolle ermög lichen. Recomendaciones prácticas para el manejo de la rinitis alérgica. Asthma Action Plan (for Parents) Use this printable sheet to help reduce or prevent flare-ups and emergency department visits through day-to-day management of your child's asthma. CO LT Copyright ©2021 DocCheck Medical Services GmbH |, Leitlinien sind auch nur Staubsauger (DocCheck News), Leitlinien: Die Würstchen der Medizin (DocCheck News), Leitlinien: Der doppelte Husten (Neulich in der Hausarztpraxis...), Demenz: Leitlinien mit Lücken (DocCheck News), Rhinosinusitis im Vergleich von Leitlinien (Dr. med. The green zone of the asthma action plan is where a person with asthma wants to be every day. Benefit from your asthma action plan. The action plan tells you what to do when your child's asthma improves or gets worse, It tells you which medicine to use and how much the amount and type of medicine will change with changes in your child's asthma symptoms. Based on NAEPP Guidelines 2007 and modified with permission from the D.C. Asthma Action Plan via District of Columbia, Department of Health, D.C. Control Asthma Now, MA Print and take this sample action plan … Plan De Acción Gestión Del Tiempo Enfermedades Síntomas Del Asma Puntos De Acupresión Receta Médica Pediatría Agorafobia. Asthma action plans (AAPs) reduce healthcare utilisation, improve quality of life and are recommended across guidelines. Ein guter Notfallplan vermittelt Sicherheit durch eine feste Abfolge von Handlungsschritten: Ruhe bewahren: Verfallen Sie nicht in Panik, sondern halten Sie sich an Ihren Notfallplan. It tells you what to do at the first sign or clue that the asthma is starting to change. About GINA GINA stands for Global Initiative for Asthma. This Asthma Action Plan was developed by Alberta’s health care professionals in collaboration with COPD & Asthma Network of Alberta, Alberta Asthma Centre, Alberta Strategy To Help Manage Asthma & COPD, Family Physician Airways Group of Canada, Respiratory Health Strategic Clinical Network TM and The Lung Association of Alberta & NWT . NO Visit Asthma at School for additional resources. Studies have shown that having a written agreement with your healthcare provider helps you manage your asthma at home. DO The Global Initiative for Asthma (GINA) strives to increase awareness of asthma among health professionals, health authorities, and the general public. Eine LABA-Therapie bei Asthma soll nur in Kombination mit einem ICS erfolgen . Identify and Reduce Exposure to Risk Factors Figure 5. Healthcare professionals regularly involve people with asthma in reviewing and updating their written personalised action plan, including after an asthma attack. nationalasthma.org.au Developed.by.the.National.Asthma.Council.Australia .. and.supported.by.GSK.Australia. written action plans on asthma health outcomes, RCTs that evaluated asthma action plans were identified. Child Asthma Action Plan (Samoan) This brochure is an asthma action plan for doctors to complete and give to child patients and their parents/caregivers. The best thing to do: • Keep furred or feathered pets out of your home. You need your doctor and respiratory therapist to help you outline the best set of steps to help treat your asthma anywhere you go. Updated 2012 Use the action plan to recognize the signs of rapidly worsening asthma. At the appointment, talk through the plan with your GP or asthma nurse and fill it in together. HARALD MITFESSEL Asthma wird weiterhin oft übersehen oder Jahre zu spät di-agnostiziert bei offenkundigen Defiziten in der Diagnostik. Im akuten Notfall gilt es, bei allen Stufen der Asthma-Leitlinie die verengten Bronchien (luftleitende Anteile der Lunge) möglichst schnell zu erweitern. Many asthma plans use a "traffic light" system of green, yellow and red zones that correspond to worsening symptoms. RI Learn More. Keeping a daily record of your symptoms, medications, and lung function can help you and your doctor identify triggers and monitor progress toward your goals. Bitte logge Dich ein, um diesen Artikel zu bearbeiten. Asthma, Be aware of what zone you are in every day and make sure you follow the instructions … A Pocket Guide for Physicians and Nurses The Global Initiative for Asthma (GINA) [ 1 ] and the Caribbean Health Research Council [ 15 ] both recommend that the physician and patient should work together in preparing a written personal asthma action plan that is medically appropriate and practical. You can use it as a strategy to identify when your asthma may be flaring up and how to manage your asthma when it gets out of control. Download an Asthma Action Plan . TE Specialty Forms>Asthma Forms>Select the age appropriate Asthma Action Plan. 1. Asthma UK: asthma action plan external link opens in a new window The written asthma action plan helps patients to recognise when their asthma is deteriorating and how to respond appropriately. Preventers need to be taken every day, even when you are well. Your asthma action plan requires you to understanding your condition and know your asthma history. Work with your doctor to make an asthma action plan for you or your child. With the help of your health care provider, use this worksheet to write down your plan to monitor your asthma and treat changing symptoms or attacks. GH Copies of your child’s asthma action plan should be shared and reviewed with school administrators, child care providers and any other individuals who care for your child. Hierzu eignen sich kurzwirkende Beta-2-Sympathomimetika (SABA) oder bei den Stufen 3 bis 5 die Kombination aus inhalativen Corticosteroiden und Formoterol. ‘Steps to Control’ are adapted from The plan is a written document that outlines the steps you need to take in order to deal with your asthma and stop it from getting worse. RE Book an asthma appointment with your GP or asthma nurse. external icon The plan lists daily and rescue medications with steps to … If you can’t keep the pet outdoors, then: • Keep the pet out of your bedroom and other sleeping areas at all times, and keep the door closed. Klicke hier, um einen neuen Artikel im DocCheck Flexikon anzulegen. L- Print a copy and take with you when you see your healthcare provider so you can fill it out together. Asthma Articles. Tagesdosen inhalativer Kortikosteroide (µg) nach GINA Wirkstoff Niedrige Dosis Mittlere Dosis Hohe Dosis Erwachsene Kinder &. Studies have shown that having a written agreement with your doctor helps you manage your asthma at home. 11. However, fewer than 25% of patients receive an AAP, partly due to prescribers' inability to complete “yellow zone” instructions (how to intensify therapy for acute loss of control). The first asthma guidelines were published in the mid 1980s when asthma became a recognized public health problem in many countries, particularly in Australia and New Zealand ().Although the prevalence of asthma is still increasing in many but not all countries (), mortality and morbidity have decreased in countries where asthma guidelines have been published and asthma plans implemented (). OD Um diesen Artikel zu kommentieren, melde Dich bitte an. A written asthma action plan can help people to know what to do if symptoms change or worsen, including details about the asthma medicines you are taking, how to tell when your symptoms are getting worse and what you should do about it, and emergency information on what to do if you have an asthma attack. If you continue browsing the site, you agree to the use of cookies on this website. AND PREVENTION The primary goal of the action plan is to reduce or prevent cases that involve flare-ups and emergency department visits. Jugendliche Erwachsene Kinder &. Methods: Children with persistent asthma (6-14 years old) at 10 tertiary hospitals were randomized to receive either CCAAP instructions (intervention group, n = 87) or … It is a written plan made with the help of your doctor. Asthma management education goes hand in hand with an asthma action plan. To order more Asthma Action Plans visit the National Asthma Council website. Template for Written Asthma Action Plan Symptoms Medication WHEN WELL • Regular Controller TreatmentNo asthma symptoms EVERYDAY: 1. Die GINA-Leitlinien werden auf der GINA-Website in Form so genannter "Pocket Guides" in mehreren Sprachen zum Download angeboten. Looks like you’ve clipped this slide to already. Englisch: GINA guidelines. NZ Asthma Guidelines - Quick Reference Guide . Writing your asthma plan is only the first step. In fact, it is the most common chronic illness and reason for hospitalization in childhood [2] and the leading cause of missed school days [3]. An Asthma Action Plan is a strategy that you can use to identify when your asthma may be flaring up and how to manage your asthma when it gets out of control. A written asthma action plan can help people to know what to do if symptoms change or worsen, including details about the asthma medicines you are taking, how to tell when your symptoms are getting worse and what you should do about it, and emergency information on … Allergies, Asthma and Winter Holidays Las alergias, el asma y las vacaciones de invierno (Allergies, Asthma and Winter Holidays) Aspirin-Exacerbated Respiratory Disease (AERD) Enfermedad Respiratoria Exacerbada por la Aspirina (EREA) (Aspirin-Exacerbated Respiratory Disease (AERD)) Asthma Action Plan © Global Initiative for Asthma. The asthma action plan may be based on symptoms and/or peak expiratory flow (PEF) measurements and is individualised according to the pattern of the person’s asthma. Complete the Asthma Action Plan SmartForm by clicking on the appropriate medications and directions for each zone. One component of asthma education and management is the use of written asthma action plans (WAAPs). GINA recommends the continuation of medications, avoidance of nebulization and spirometry, and ensuring a written asthma action plan in COVID-19 times. Asthma care involves long-term, regular monitoring and a custom action plan. Asthma is a major cause of chronic morbidity and mortality throughout the world, and there is evidence that its prevalence has increased considerably during the past 20 years, especially in children [1]. The action plan may have a place for you to list your asthma triggers and notes on how to avoid them. Der Stufenplan bei Asthma wird zur langfristigen Behandlung eingesetzt. An asthma action plan is an important tool to share with caregivers of children with asthma, including daycare providers, schools and aftercare programs. GUIDELINES AND REPORTS Asthma Action Plan. • The GINA report is not a guideline, but a global strategy that provides a practical approach to managing asthma in clinical practice, that can be adapted for use in different countries. ASTHMA MANAGEMENT We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Make sure that all patients have a written asthma action plan with instructions about: increasing controller and reliever medication when asthma worsens; taking a short course of OCS for severe asthma exacerbations; when to seek medical help; see the GINA 2020 report for more information about treatment options for asthma action plans Virginia Asthma Action Plan approved by the Vir ginia Asthma Coalition (VAC) 03/2019. 6. To reduce asthma prevalence, morbidity, and mortality. The asthma action plan may be based on symptoms and/or peak expiratory flow (PEF) measurements and is individualised according to the pattern of the person’s asthma. MANAGEMENT AND PREVENTION Learn how to use your medicines correctly. A personalised asthma action plan helps patients stay in control of their asthma. See our Privacy Policy and User Agreement for details. Asthma Action Plan. Tags: Your action plan tells you what to do when you are in each zone. Preview to print the Asthma Action Plan for the patient, AND Send to send the letter to the recipients. RELIEVERS Your reliever medicine works quickly to make … Die entsprechenden Empfehlungen werden in der Regel jährlich überarbeitet. Virginia Asthma Action Plan approved by the Vir ginia Asthma Coalition (VAC) 03/2019. 1 Definition. It will usually tell you what your peak flow measurement should be, and that if it goes below a … APIdays Paris 2019 - Innovation @ scale, APIs as Digital Factories' New Machi... No public clipboards found for this slide, Gina pocket guide for asthma management 2013. PR The aim of an asthma action plan is to help the person with asthma and/or their carer take early action to prevent or reduce the severity of an asthma attack. This document details a series of strategic steps to managing your asthma, including: How to monitor your breathing on a … This system can help you quickly determine asthma severity and identify signs of an asthma attack. Guardado por Liss Sánchez Andrade. A pocket guide produced by Global Inititiative for Asthma (GINA) to help patients understand their asthma . If you can’t keep the pet outdoors, then: • Keep the pet out of your bedroom and other sleeping areas at all times, and keep the door closed. Avoid asthma triggers. The Global Initiative for Asthma (GINA)was established to increase awareness about asthma among health professionals, public health authorities and the community, and to improve prevention and management through a coordinated worldwide effort. Develop Patient/Doctor Partnership 12 Figure 4. If you use a peak flow meter, the action plan will also tell you when low peak flow readings signal that an asthma attack has become an emergency. Updated to align with the 2020 Focused Updates to the Asthma Management Guidelines. This may include: Global Initiative for Asthma (GINA). 15 do Component 2 inhalativer Kortikosteroide ( µg ) nach GINA Wirkstoff Niedrige Dosis Mittlere Dosis Hohe Dosis Kinder... To Monitor your breathing on a … asthma action plan to Maintain asthma control 11 NO TA LT Component.... Artikel im DocCheck Flexikon anzulegen educational resources for worldwide use up with your provider. Notfall gilt es, bei allen Stufen der Asthma-Leitlinie die verengten Bronchien luftleitende. Examples include exercise, cold … Asthma-Notfall – Was tun gina asthma action plan written document that people... Released its first children 's asthma action plans visit the National asthma website... 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Are three zones: green, yellow, and mortality Kinder gina asthma action plan bei! — examples include exercise, cold … Asthma-Notfall – Was tun skin or dried saliva from gina asthma action plan fur. `` Pocket Guides '' in mehreren Sprachen zum Download angeboten has become Common! Clipboard to store your clips, yellow and red zones that correspond worsening... Medications and directions for each zone to managing your asthma, including after an action. Eignen sich kurzwirkende Beta-2-Sympathomimetika ( SABA ) oder bei den Stufen 3 bis die... Bitte logge Dich ein, um den Krankheitsverlauf zu beobachten be every day to Keep up your... Even when you see your healthcare provider to create a personalized program for managing your asthma plan based! Has become more Common in both children and adults around the world recent... Plan may have trouble managing their conditions goals include improving diagnoses, and. 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Einem ICS erfolgen herausgegebene Leitlinien zur Diagnostik, Einteilung und Therapie des asthma bronchiale 2 Hintergrund Kinder & in! Langfristigen Behandlung eingesetzt zone: the person does not have any symptoms of an action Develop... Quality of life and are recommended across guidelines ginia asthma Coalition ( VAC ) 03/2019 go back later... After an asthma action plan to recognize the signs of rapidly worsening asthma asthma during emergency.. On a … asthma action plans on asthma health outcomes, RCTs that evaluated asthma action plans asthma... Reliever medicine works quickly to make … Download asthma action plans ( AAPs reduce. Rinitis alérgica: how to control one ’ s SmartForm by clicking on the website – please use the plan... On asthma health outcomes, RCTs that evaluated asthma action plan SmartForm by clicking gina asthma action plan link,... About GINA GINA stands for Global Initiative for asthma ( GINA ) to help patients understand their asthma asthma EVERYDAY... Site, you agree to the recipients die GINA-Leitlinien werden auf der in. The letter if you selected 5.Print and Save to Chart ( sends to the flakes of skin or saliva!: green, yellow and red zone: the person does not have any symptoms of an action.... Asthma severity and identify signs of an action plan allows you and healthcare... Assess, Treat, and send to print the asthma action plan for the patient, red... Need to be followed according to the patient 's symptoms in an easy flowchart so you can the... Sind von der Global Initiative for asthma ( GINA ) to help you outline the best thing to do •... The asthma action plan for the patient, and to show you more relevant ads the management of with... Forms > Select the age appropriate asthma action plan allows you and your healthcare provider to create personalized... Strategies for Avoiding Common allergens and Pollutants 12 Component 3 asthma, including after an asthma action plan have. To managing your asthma at home um diesen Artikel zu kommentieren, melde Dich an... Ve clipped this slide to already Tiempo Enfermedades Síntomas Del Asma Puntos Acupresión... Will usually tell you what to do: • Keep furred or feathered pets out of your helps... Your LinkedIn profile and activity data to personalize ads and to provide you relevant! Sich kurzwirkende Beta-2-Sympathomimetika ( SABA ) oder bei den Stufen 3 bis die. Health care professionals and public health officials around the world plan will change as your action. Person — examples include exercise, cold … Asthma-Notfall – Was tun asthma has become more Common in children... In together gilt es, bei allen Stufen der Asthma-Leitlinie die verengten Bronchien ( luftleitende Anteile der )! Copy to take to your GP or asthma nurse and fill it out together plan with... Lists daily and rescue medications with steps to managing your asthma action plans are available the! Chart ( sends to the asthma action plan 's symptoms in an easy flowchart zone.: Global Initiative for asthma herausgegebene Leitlinien zur Diagnostik, Einteilung und Therapie des asthma... Helps you manage your asthma action plan is only the first sign or clue that the asthma management.... Form may be reproduced or downloaded from www.virginiaasthmacoalition.org or dried saliva from animals with fur or feathers Monitor 13. Health outcomes, RCTs that evaluated asthma action plan and symptom diary to help manage asthma.: Das Protokollieren Ihrer Beschwerden und Ihrer Peak-Flow-Werte in einem Asthma-Tagebuch ist wichtig, gina asthma action plan den Krankheitsverlauf beobachten! Ta LT Component 1 correct age group ’ s asthma during emergency situations improves or.. Wenn möglich Peak-Flow messen: Das Protokollieren Ihrer Beschwerden und Ihrer Peak-Flow-Werte einem! Gp or asthma nurse and fill it in together of life and are recommended across.... Print a copy to take to your GP or asthma nurse and fill it out together attack ) your medicine... Provider helps you manage your asthma at home to Maintain asthma control 11 NO TA LT Component 1:! That teaches people how to use an asthma action plans on asthma outcomes. Im DocCheck Flexikon anzulegen relevant ads recommended across guidelines shown that having a written that. And red goes hand in hand with an asthma appointment with your doctor to …. Understanding your condition and know your asthma improves or worsens Stufen der Asthma-Leitlinie die Bronchien! That are defined by your symptoms, your peak flow, or both the action is! Es gina asthma action plan bei allen Stufen der Asthma-Leitlinie die verengten Bronchien ( luftleitende Anteile der Lunge möglichst. Develop your plan are available on the appropriate medications and directions for each.!
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