Previous diagnosis: COPD Group B – chronic bronchitis
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er as
Current diagnosis: COPD Class C – chronic bronchitis
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Scenario: Ms. O’Connor is a 55-year old Caucasian female who has come to the doctor’s office
o.
reporting worsening of COPD symptoms and a recent, frightening episode of bronchospasm. She
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ou urc
is a long-term smoker (37 years) and would like assistance with smoking cessation.
Home medications: Formoterol inhaler 12mcg single-use q12 hours
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aC s
Vitals: Temp 37C (Temporal), Blood pressure 129/79 (Automatic), Heart rate 90 (NSR), O2 sat
vi y re
92% (room air), Respiratory rate 26.
Assessment: Ms. O’Connor is in today stating she feels her lungs “are falling apart” due to
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ar stu
worsening shortness of breath. She reports that three days ago she had an episode of
bronchospasm causing a coughing fit that made her apprehensive about her pulmonary health.
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She has been a smoker since the age of 15 and has had trouble breathing for years being
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hospitalized for a COPD exacerbation two years ago. She complains of feeling very
uncomfortable with breathing difficulty being a 6 out of 10. Patient states symptoms have
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progressed in the recent 4 months as she has been getting more fatigued with worsening
shortness of breath on minimal exertion, and a productive cough expectorating phlegm. She
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