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The peak flow meter measures the state of your child's breathing tubes. The higher
the peak flow, the more open the breathing tubes. A lower than usual peak flow means
your child's breathing tubes are closing down.

The peak flow meter works in a very simple way. If the breathing tubes are open,
you can blow out hard. If the breathing tubes are closing down, you cannot blow out
with as much force. The peak flow meter measures the force used to blow out.
Warning: Different peak flow meters may give different
results. Always have your child use the same meter. Bring your child's meter with
you when you see your doctor.
The peak flow meter is an early warning tool. Your child's peak
flow may go down before there is any coughing, wheezing, or chest tightness.
Who can use a peak flow meter?
Most children over age 5 can use a peak flow meter. Ask your doctor how to get one
for your child. Ask your doctor, nurse, respiratory therapist, or pharmacist to check
how well your child uses the peak flow meter.
When to measure a peak flow?
- Ideally, the peak flow should be checked twice a day to get the earliest clue
to an asthma flare-up.
- At a minimum, check the peak flow once a week when your child is well. By checking
the peak flow when your child is well, you will be able to see how
far the peak flow has dropped when your child is sick.
- Be sure to check the peak flow twice daily if your child gets a cold, has a runny
nose, coughing, or wheezing.
- Check the peak flow BEFORE taking medications.
How to use the peak flow meter
Help your child follow these steps
- Stand up straight and place the mouthpiece of the flow meter in his/her mouth.
Be sure that the indicator is at the bottom of the scale.
- Breathe in as much air as his/her lungs will hold.
- Then huff out as hard and fast as he/she can.
- Repeat these steps 3 times, using the highest of the 3 readings as the peak flow
rate.
- Check your child's peak flow readings twice a day for a week when your child
is well to find the per son al best peak flow rate.
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