Peak flow meter for asthma

What is a peak flow meter?

A peak flow meter is a small device that you blow into. It measures the fastest rate of air (airflow) that you can blow out of your lungs. It records airflow in litres per minute(L/min) and provides you with a score, which is called peak expiratory flow rate (PEFR). Your doctor may prescribe a peak flow meter for you if you have asthma. There are different brands of peak flow meter. They all do the same job.

Your doctor, nurse or other healthcare professional will show you how to take a peak flow test. It is important to do this correctly; otherwise, the readings can be misleading. Briefly, you must:

1. Put the marker to zero.

2. Take a deep breath.

3. Close your lips around the mouthpiece.

4. Then blow air out of your lungs as fast as you can into the device. Note the reading. The further reading section has a link to an Asthma UK website which has a video showing how to use a peak flow meter.

5. When checking your peak flow score, you should do three blows, one after the other. The 'best of three' is the reading to record.

Common mistakes

1. When you do three blows straight after each other, the readings should all be about the same. If they are not, you may not be blowing into the device correctly.

2. A common error is to not to blow as hard as you can.

3. Another common error is to not put your lips right round the mouthpiece to make sure that all the air you blow out goes through the device.

Normal peak flow readings vary, depending on your age, size, and sex. The range of normal peak flow readings is published on a chart, and doctors and nurses refer to the chart when they check your peak flow reading.

Knowing your personal best peak flow is also important, and helps you to know what you should expect.

Normally, in healthy people, peak flow readings vary slightly from time to time. The reading is often slightly higher in the evening compared with the morning.

Peak flow graph

To help diagnose asthma

If you have untreated asthma:

• Your peak flow readings will usually be low. No matter how strong you are, if your airways are narrowed, your peak flow will be lower than expected for your age, size, and sex.

• Your peak flow readings will tend to vary quite a lot. Typically, the readings are lower in the morning compared with the evening. This difference is much greater in people with untreated asthma than the normal small variation seen in most people.

Sometimes a doctor or nurse will give you a chart (like the one above), and ask you to keep a record of your peak flow readings for a week or so. You will normally be asked to take a 'best of three' peak flow reading each morning and evening. This information can be used to inform your asthma action plan and help doctors make decisions to alleviate asthma symptoms or prevent asthma attacks.

Sometimes a peak flow reading is done before and after you take a dose of asthma medicine to open up your airways. If the treatment causes a large improvement in your reading, this too is typical of asthma.

To monitor treatment

For some people, keeping a peak flow diary can be a good way to monitor how well their asthma is controlled.

This is particularly useful for people who otherwise find it difficult to tell if their asthma is getting worse.

A peak flow meter diary is a way of recording your peak flow measurements over time. A one-off reading is usually not very useful, but seeing the pattern of how your peak flow measurements change over time can be very helpful.

See the peak flow diary leaflet for an example.