![]() The day-night band of the VIIRS (Visible Infrared Imaging Radiometer Suite) on the NOAA-NASA Suomi NPP satellite captured this image (above) of the eruption’s glow early on March 5, 2024. The most recent eruption began on March 2, 2024, when lava began to pour from a circular fissure on the volcano’s southeast flank. In recent decades, the volcano has erupted roughly every four years. The island’s La Cumbre volcano lies directly atop the mantle plume, or hot spot, that produced all of the Galápagos islands. Hopefully you won't need too much experience with the A and E end but I definitely agree about not relying on peak flow alone, learning what is best for you and not going off averages or other people's results.Fernandina, the youngest of the Galápagos islands, is also the most volcanically active. I may also be 400 and be just a bit short of breath and not needing anything beyond a couple of puffs of reliever - so again context is key. ![]() I have had bad attacks and still stuck on 400 so good job I didn't wait. ![]() I've learned how I *can* use it as a tool for me (when I get bad my inhaler stops helping my peak flow and symptoms so it's not 'oh it's 400' but 'it's 400 post neb still and I can't talk in sentences or walk around so yes I need A and E now.' ) Not only that but my peak flow doesn't drop neatly as it does for some I have learned that I cannot wait and ignore everything else for my peak flow to get below 50% of my best or I'll be in a bad way. I am one of those who is predicted in the 400s and gets 630 as best. Peak flow is just one part of asthma and it has a complex relationship with severity overall and how bad you are at any one time it needs to be taken as part of the overall context and as part of YOUR asthma as Twinkly29 says. Lysistrata Administrator Community Ambassador in reply to twinkly29 4 years agoĪbsolutely agree on the measurements. It has info on what each section consists of (as it isn't just based on peak flow alone) and what to do in each section.Īs twinkly29 says you can normally get them on prescription but this is the type that is used in hospitals and would normally be issued on prescription: You can get a generic action plan to fill in from the Asthma UK website here: But if I present with a peak flow of 120 its below 25% of my best and they're normally considering an ITU review or transfer to HDU for treatment! Having a plan based on your own numbers is really important because it makes a big difference in treatment if you present with certain numbers - just using the example of 120 someone said above, if my grandma had that peak flow it would be about 60% of her best so she would probably just need a course of oral steroids. Get to know your personal best and then get a management plan based on those numbers from your Dr (but as a rough guide most tend to say green zone from 80-100%, amber zone from 50-80%, red zone from 33-50% and black zone below 33%). That's a good place to start anyway! Once you've got some data, your GP or asthma nurse should be able to help with a plan for you - or the Asthma UK nurses might over the phone if your own GP/nurse are not helpful.Īs for meters, I think you can buy a peak flow meter from the pharmacy. Over a couple of weeks you'll get a feel for your normal range. It doesn't matter if you do it before or after your preventer inhaler as long as you know which it is in case people ask and as long as it's consistent. When you've got a meter, I'd start by measuring your peak flow (deep breath in, tight seal round mouthpiece and blow out as hard and fast as you can) twice a day, best of 3 goes each time. ![]() On the other hand my expected should be about 400 but is nowhere near that now so we don't go on the 400. So blowing a 400 puts them at 60% of their best and that's not good. I know people whose expected best is 400 but their best is actually 630. Your ranges may well be related to the expected levels for someone of your age and height - but they may not. You should have a plan which lays out parameters for you in relation to your best peak flows, your symptoms (including peak flow but other things bedsides), presentations and triggers - and then what you should do at each stage. Peak flow, as with pretty much anything asthma related □, is very personal. mine is only." or "you don't need to seek help until." It's REALLY important when it comes to measuring/tracking your peak /flow to get to know your normal/best (when well) and to IGNORE anyone saying things like "oh that's good.
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