Tools for Monitoring Your Asthma   In the past, doctors focused on treating symptoms and attacks when they occurred. Today, treatment plans focus on preventing inflammation and on keeping the airways from getting too tight. As a result, attacks can be stopped before they start. Knowledge is the key to managing asthma successfully. To gain knowledge, use available treatment tools including: Peak Flow Meter The peak flow meter is a device that measures how well air is moving out of your lungs. By checking your peak flow daily, you may be able to avoid attacks because you'll know about the narrowing of your airways even before symptoms begin. Use the peak flow meter first thing in the morning before beginning the day's activities&emdash;this includes before eating, before treating your asthma, before going to school or work. Metered Dose Inhalers A metered dose inhaler (MDI) is a pressurized canister, like a tiny spray can, of medication that is inserted into a holder with a mouthpiece. It delivers a measured (metered) dose of medication that comes out as a fine mist or spray. There tend to be fewer side effects when the drug is delivered right to the lungs. Ask your doctor, nurse, or pharmacist to show you how to use the MDI, and how to keep it clean. Be sure to practice in the doctor's office. Anyone who has trouble using an MDI will probably find it easier with a spacer. Spacers are holding chambers that come in many shapes and sizes. A space attaches to the MDI and helps get more medication into the lungs. This also may prevent you from coughing or gagging on the medication. Nebulizers If you have severe asthma or have difficulty using a metered dose inhaler, medications may be delivered through a nebulizer, a device that delivers a fine mist of medicine or saline deep into the lungs. A nebulizer consists of a cup attached to a mouthpiece or face mask and tubing that connects it to an air compressor. The doctor will select the right type of equipment and provide exact instructions, including care and cleaning. Daily Diary Pay close attention to your condition and keep a detailed record that lists the things that trigger your condition; includes your daily symptoms and the actions you take to receive them.   ABOUT THIS PROGRAM | UNDERSTANDING ASTHMA MANAGING YOUR ASTHMA | CHILDREN WITH ASTHMA | FOR MORE INFORMATION | MAIN PAGE BACK TO HEALTHWORKS © 1998 Prairie Public Broadcasting, Inc.