Table 1

Self-treatment plan

StepPeak FlowSymptomsAction
1 (green zone)80–100% PBVNo/intermittent/fewContinue maintenance treatment
2 (yellow zone)60–80% PBVIncreased cough/wheezing/shortness of breathDouble the dose of inhaled steroids for 2 weeks
3 (red zone)50–60% PBVNearly continuously shortness of breath and/or poor response to bronchodilator therapyPrednisolone 30 mg·day−1 for 7 days
4 (black zone)<50% PBVSevere attack of asthmaCall/visit physician/emergency room promptly
  • PBV: personal best value. At all stages, take inhaled B2-agonists for relief of symptoms.