Chamberlain College of Nursing NR 510 week2respiratoryshadowhealth.

Ms. Jones is a 28 year old well developed African American Female who presents to the office today complaining of increased shortness of breath as well as increase use and need of her inhaler that began two days ago. Ms. Jones has allergies to cats which exacerbate her asthma and has had recent exposure to 3 cats at her cousins, she also admits to sensitivty to seasonal allergies as well as dust. She admits to increased cough with wheeze but denies nasal drainage or a productive cough. She does not take any medications for her allergies other than her Albuterol inhaler 90 mcg 2­3 puffs q4 hours prn wheeze/sob, and over the counter acetaminophen and advil prn for headache and cramping. She does report having increased shortnes of breath with increased activty as well as when she is lying flat. Ms. Jones sleeps with one pillow and has no difficulty sleeping. Ms. Jones also presents with an elevated blood glucose and admits to non compliance with medicaiton and regular glucose monitoring. HPI: Ms. Jones is a pleasant 28­year­old African American woman who presented to the clinic with complaints of shortness of breath and wheezing following a near asthma attack that she had two days ago. She reports that she was at her cousin’s house and was exposed to cats which triggered her asthma symptoms. At the time of the incident she notes that her wheezes were a 6/10 severity and her shortness of breath was a 7­8/10 severity and lasted five minutes. She did not experience any chest pain or allergic symptoms. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had 10 episodes of wheezing and has shortness of breath approximately every four hours. Her last episode of shortness of breath was this morning before coming to clinic. She notes that her current symptoms seem to be worsened by lying flat and movement and