Tina, it's good to see you again. If you don't remember me, I'm Scott,
Greet
Education & Empathy your nurse practitioner. I'll be doing your examination today.
07/21/18 11:17 PM
CDT
Documentation
Hey.
Student Pre-Survey
Lifespan
What brings you in today? Question
Review Questions
07/21/18 11:18 PM
CDT
Self-Reflection
I came in because I've been having breathing problems, and my inhaler
just isn't working the way it normally does.
Question
Tell me about the breathing issues your experiencing? 07/21/18 11:18 PM
CDT
It feels like it's been hard to take in air. My chest feels all tight and I've
been wheezing... I've had to use my inhaler a lot, and it doesn't feel like
it's totally working.
Question
To make sure I understand, you feel like you can't get enough air? (No
07/21/18 11:19 PM
matching questions found.)
CDT
https://chamberlain.shadowhealth.com/assignment_attempts/3664 Page 2 of
486 39
,You can't get enough air in to your lungs? (No matching questions found.) Question
07/21/18 11:19 PM
CDT
I know that we have been through these same set of questions, so I'm sorry I'm
Educate
going to ask them again. I'm not really insulting your intelligence, although it may
07/21/18 11:22 PM
seem like I am.
CDT
Alright, thanks for letting me know.
Question
When did your breathing issues begin?
07/21/18 11:22 PM
CDT
All of these breathing problems started two days ago, at my cousin's house.
Question
Were you around cats?
07/21/18 11:22 PM
CDT
Two days ago, at my cousin's house. She has three of them, and my asthma always
goes crazy when I'm there.
Question
Because your allergic to cats, right?
07/21/18 11:22 PM
CDT
Definitely. Cats make my asthma go crazy.
How long were you exposed to these cats? (No matching questions found.) Question
07/21/18 11:23 PM
CDT
Question
Has your asthma gotten worse since you were exposed to the cats?
07/21/18 11:23 PM
CDT
, No, my asthma has definitely got better since I was little. It used to be really bad--I
would get asthma attacks all the time. Just lately, though, it's been worse than
usual.
Did anything make you asthma feel better? (No matching questions found.) Question
07/21/18 11:24 PM
CDT
Your inhaler didn't help your asthma? (Clarified to what do you do if your inhaler Question
doesn't work.) 07/21/18 11:24 PM
CDT
I guess I don't really have a backup plan; it's always worked in the past, though
lately I've needed more puffs than usual.
Question
How many puffs do you need?
07/21/18 11:25 PM
CDT
Sometimes I have to take three puffs instead of two, and the past couple days,
always three. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]
How many times did you use your inhaler the past two days? (Clarified to how Question
many times have you used your inhaler in the past two days.) 07/21/18 11:25 PM
CDT
I've been needing my inhaler about every four hours, I'd say.
What have you done to treat your asthma? (Clarified to how do you manage your Question
asthma.) 07/21/18 11:26 PM
CDT
I try to avoid things that give me breathing problems, but when my asthma starts to
act up, I just use my inhaler.
Question
Why didn't you avoid the cats this time?
07/21/18 11:26 PM
CDT
I haven't been sleeping as well because my asthma has been getting a little worse
at night, and it's been waking me up, too.
Question
How many times to you wake up with asthma?
07/21/18 11:27 PM
CDT
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