Respiratory Results | Turned In Advanced Health Assessment

Respiratory Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Pass Documentation / Electronic Health Record Document: Provider Notes Document: Provider Notes Student Documentation Model Documentation Subjective Ms. Jones a 28 year old female. Of African American descent. 170 cm height weight 89kg BMI 30.8 Random glucose: 224 temp: 98.5 B/p 140/81 Heart rate: 89 Resp: 20 Pulse ox: 97% right and left index finger CC. Ms. Jones States, " I came in because I'm having breathing problems, my inhaler just isn't working the way it normally does".shortness of breath and decreased effectiveness with inhaler use. HPI: onset of symptoms 2 days ago, at her cousin's house and she as cat is allergic to cats. She states "her inhaler usually it fixes the problem, and it doesn't feel totally under control. She complains of frequency as every 4 hours shortness of breath, haven't had a full asthma attack in years but her inhaler inhaler takes about when the two minutes for her breathing to go back to normal. She reports wheezing every 4 hours or so about 5 episodes of the day. Exacerbations lasting several minutes. Asthma seems to be waking her up the past two nights. The past few days asthma has been interfering with her activities of daily living. Patient