NURSING 622

S.O.A.P Note Katherine Harris Completed by: Marissa Huettman Subjective: CC: Cough, SOB HPI: Katherine is a 16 yo female who presents with cough x 3 weeks and SOB that has developed and worsened over the last 3 days. She notes SOB with minimal exertion such as walking short distances. Pt states cold like symptoms 3 weeks ago as well but have since resolved. Pt notes feeling “wheezes” and chest tightness. Pt denies fevers, chills or sputum with cough. Pt notes rest makes SOB better. Pt...

S.O.A.P Note Katherine Harris Completed by: Marissa Huettman Subjective: CC: Cough, SOB HPI: Katherine is a 16 yo female who presents with cough x 3 weeks and SOB that has developed and worsened over the last 3 days. She notes SOB with minimal exertion such as walking short distances. Pt states cold like symptoms 3 weeks ago as well but have since resolved. Pt notes feeling “wheezes” and chest tightness. Pt denies fevers, chills or sputum with cough. Pt notes rest makes SOB better. Pt...

S.O.A.P Note Katherine Harris Completed by: Marissa Huettman Subjective: CC: Cough, SOB HPI: Katherine is a 16 yo female who presents with cough x 3 weeks and SOB that has developed and worsened over the last 3 days. She notes SOB with minimal exertion such as walking short distances. Pt states cold like symptoms 3 weeks ago as well but have since resolved. Pt notes feeling “wheezes” and chest tightness. Pt denies fevers, chills or sputum with cough. Pt notes rest makes SOB better. Pt...