Exam (elaborations)
Shadow Health _ Tina Jones _ Respiratory Assessment (3).
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Shadow Health _ Tina Jones _ Respiratory Assessment (3).
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Shadow Health | Tina Jones | RespiratoryAssessment
Chief Complaint: - ANS-
Asked about asthma - ANS-- Reports having asthma
- Reports asthma exacerbations
Relevant Medical History: - ANS-
Asked about severity of asthma - ANS-- Reports asthma is intermittent
Asked about asthma frequency and duration - ANS-- Reports asthma exacerbations
occur up to two times a week
- Reports asthma exacerbations last around five minutes
Asked most recent asthma exacerbation - ANS-- Reports last exacerbation was three
days ago
- Reports last exacerbation around cats at cousin's house
Asked about asthma triggers - ANS-- Reports cat allergy as asthma trigger
- Reports dust as asthma trigger
- Denies asthma problems at work
- Denies asthma problems at home
Asked asthma management - ANS-- Reports inhaler
Asked about asthma medications - ANS-- Reports albuterol inhaler (Proventil)
- Reports last inhaler use was three days ago
- Reports using inhaler no more than two times a week
Asked about number of puffs when using asthma inhaler - ANS-- Reports
recommended is dose 1-3 puffs as needed
- Reports typically taking 2 puffs
- Reports sometimes needing 3 puffs to control symptoms
Asked exacerbation symptoms - ANS-- Reports chest tightness during exacerbation
- Reports wheezing during exacerbation
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