NR 509 SOAP note week 2 Respiratory Tina jones
NR 509 SOAP note week 2 Respiratory Tina jones/NR 509 SOAP note week 2 Respiratory Tina jones/OAP Note FormatPatient Information:Tina Jones is an obese 28-year-old African American female, who comes in today for evaluationand treatment of asthma exacerbation.S.CC(chief complaint)"I came in because I've been having breathing problems, and my inhaler just isn't working theway it normally does."HPI:include all the information regarding the CC using the OLDCART format.Onset: 2 days agoLocation: Nose and lungsDuration: 2 daysCharacteristics: Chest feels tight and she has noticed some wheezing, with non-productive, dry coughAggravating Factors: Worse at night when she is lying down on her back.Relieving Factors: Albuterol inhaler 3 puffs every four hours (however, does not feel likeit is completely under control). Drinking water helps with the cough.Treatment: Albuterol inhaler 3 puffs every four hoursCurrent Medications:Albuterol 90 mcg/spray 3 puffs every four hours as needed for wheezing when around cats
Written for
- Institution
- NR 509
- Course
- NR 509
Document information
- Uploaded on
- November 8, 2022
- Number of pages
- 4
- Written in
- 2022/2023
- Type
- Other
- Person
- Unknown
Subjects
- who comes i
-
nr 509 soap note week 2 respiratory tina jonesnr 509 soap note week 2 respiratory tina jonesoap note formatpatient informationtina jones is an obese 28 year old african american female
