Peak flow monitoring is used to assist in establishing a diagnosis of
asthma, to measure asthma severity, to assess the response to treatmen
t and to recognise deteriorating asthma. This article describes the ad
vantages and limitations of peak flow monitoring, practical aspects of
peak flow meter use and the circumstances in which peak flow monitori
ng is most likely to ensure better patient outcomes, Recommendations a
re made for a written action plan, based on peak flow monitoring, for
the effective management of asthma at home and treatment of asthma exa
cerbations.