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Asthma and Allergy Asthma and Allergy
Asthma and Allergy > Asthma > Treatments > Peak Flow Meter

Peak flow meters

Peak flow meterA peak flow meter is a useful tool for people who have asthma. This hand-held device measures the maximum or “peak” speed at which air can be exhaled from the lungs. During an asthma episode, the peak flow is slowed because the airways are partly blocked.

As early as 24 hours before asthma symptoms appear, your breathing already may be affected. The peak flow meter can detect this change, so you can start medications before wheezing or coughing even begins.

Even children as young as three years old can learn to use a peak flow meter. Usually, the readings are taken right after waking up in the morning and again before going to bed. You also may be asked to take a reading before and after you take inhaled medications. Your doctor can help you determine the best testing times.

Steps for using the peak flow meter

  1. Move the pointer to the base of the numbered scale.
  1. Hold the peak flow meter, being careful not to block either the mouthpiece or the air exit.
  1. Stand up.
  1. Take a deep breath.
  1. Place the meter in your mouth, closing your lips gently around the mouthpiece.
  1. Blow out as hard and fast as possible. (The meter measures the speed of your breath, not how much air you breathe out. So a short and fast blow gives the best reading.)
  1. Write down the number indicated by the pointer.
  1. Repeat steps 1 to 7 two more times (unless the test has caused a coughing attack).
  1. Record the highest of the three numbers achieved. This is your peak flow reading.

Peak flow zones

Peak flow readings are divided into three zones – green, yellow and red – such as a traffic light. Your doctor will help determine your “personal best” peak flow, then use this number to set the three zones for an asthma action plan. See the chart below for more information about peak flow zones.

Zone

What it means

What to do

Red: below 50% of personal best
Severe asthma episode
Call your clinic or seek immediate medical attention
Yellow: 50% to 80% of personal best
Asthma is not well controlled
Take medications as prescribed
Green: 80% to 100% of personal best
Asthma is in control
Continue usual activities
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Treatments
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