Your avatar Height: 170 cm Exam Action
08/25/20 12:18 PM EDT
Your avatar Weight: 90 kgExam Action
08/25/20 12:18 PM EDT
Your avatar BMI: 31Exam Action
08/25/20 12:18 PM EDT
Your avatar Random blood glucose: 238 Exam Action
08/25/20 12:18 PM EDT
Your avatar Temperature: 101.1 F Exam Action
08/25/20 12:18 PM EDT
Your avatar Blood pressure: 142/82 Exam Action
08/25/20 12:18 PM EDT
Your avatar Respiratory rate: 19 Exam Action
08/25/20 12:18 PM EDT
Your avatar O2 sat: 99%Exam Action
08/25/20 12:18 PM EDT
Your avatar Heart rate: 86Exam Action
08/25/20 12:18 PM EDT
Your avatarHi Ms Jones, My name is xxx and I am a nurse practitioner student here to take care of you.Greet
08/25/20 12:19 PM EDT
Tina JonesHey.
Your avatarWhat brings you in to the clinic today? Question
08/25/20 12:20 PM EDT
Tina JonesI got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pain is killing me!
Your avatarThat sounds very uncomfortable. Empathize
08/25/20 12:21 PM EDT Tina JonesI appreciate you saying that.
Your avataron a scale from 1-10, what is your pain level right now Question
08/25/20 12:21 PM EDT
Tina JonesI'd say a 7. It hurts a lot, and the pain pills haven't kicked in yet.
Your avatarWhat pain medication are you taking? Question
08/25/20 12:22 PM EDT
Tina JonesIt's called tramadol.
Your avatarDo you know the strength of the tramadol? Question
08/25/20 12:22 PM EDT
Tina JonesI'm not 100% sure, but I think they're 50 milligrams.
Your avatarOk. How often do you take the tramadol? Question
08/25/20 12:22 PM EDT
Tina JonesI've been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON]
Your avatarHas tramadol been helping with the pain? Question
08/25/20 12:22 PM EDT
Tina JonesYeah, the pain pills help, but only for a few hours.
Your avatarWhat other medications do you take at home? Question
08/25/20 12:23 PM EDT
Tina JonesLately, just the tramadol...and I used my inhaler a few days ago.
Your avatarWhat kind of inhaler do you use? Question
08/25/20 12:23 PM EDT
Tina JonesIt's just a regular Proventil inhaler.
Your avatarHow often do you use the proventil inhaler? Question
08/25/20 12:23 PM EDT
Tina JonesWhen my breathing acts up, I just use two puffs from my albuterol inhaler, though
lately I sometimes need three. [AUDIO COMING SOON]
Your avatarWhen you say your breathing acts up, what exactly does it feel like? (Clarified to Can you describe your breathing problems?.) Question 08/25/20 12:24 PM EDT
Tina JonesWhen my asthma acts up, I feel like my chest is tight, like I can't really take in air.
And I usually wheeze. (Clarified to to describe my breathing problems.)
Your avatarThat sounds scary. Empathize
08/25/20 12:25 PM EDT
Tina JonesI appreciate you telling me that.
Your avatarDo you take any herbal medications? Question
08/25/20 12:25 PM EDT
Tina JonesNo, I don't take anything herbal.
Your avatarHow long ago did you originally scrape your foot? Question
08/25/20 12:26 PM EDT
Tina JonesWell, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days.
Your avatarHow did you scrape it? Question
08/25/20 12:26 PM EDT
Tina JonesI was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of turned my ankle a little bit. And I scraped up my foot on the edge of the step.
Your avatarWhen you tripped, did you feel dizzy? Question
08/25/20 12:27 PM EDT
Tina JonesNo, I wasn't dizzy.
Your avatarWere you feeling short of breath? (Clarified to Do you have shortness of breath while walking?.) Question
08/25/20 12:27 PM EDT
Tina JonesSometimes I get short of breath when I have to hurry up the stairs to class, or when I have to walk a long way somewhere. (Clarified to if I get short of breath while walking.)
Your avatarHave you tried any treatments for the scrape on your foot? (Clarified to How have
you been treating your foot?.) Question
08/25/20 12:28 PM EDT
Tina JonesI made sure to clean it and just keep it bandaged. And I put Neosporin on it. (Clarified to what I did for my foot at home.)
Your avatarIt is good that you keep it clean. Educate 08/25/20 12:29 PM EDT
Tina JonesThat makes sense.
Your avatarDo you have any past medical history? Question
08/25/20 12:29 PM EDT
Tina JonesYeah. . . I have asthma and diabetes.
Your avatarAny allergies to medication? Question
08/25/20 12:29 PM EDT
Tina JonesYeah, I'm allergic to penicillin.
Your avatarAre you up to date on immunizations? Question
08/25/20 12:30 PM EDT
Tina JonesI'm pretty sure they are all taken care of.
Your avatarDo you remember when your last tetanus shot was? Question
08/25/20 12:30 PM EDT
Tina JonesI got a tetanus booster about a year ago.
Your avatarHave you had any surgeries in the past? Question
08/25/20 12:31 PM EDT
Tina JonesNope. No surgeries... I've been lucky.
Your avatarAny hospitalizations? Question
08/25/20 12:31 PM EDT
Tina JonesWell, I went a week ago on the day I hurt my foot to get it checked out. That was the first time I've been in the hospital since I was probably sixteen, though.
Your avatarWhat did the hospital do for your foot? (Clarified to What did the emergency room do?.)Question
08/25/20 12:32 PM EDT
Tina JonesThey cleaned the scrape... I got an x-ray... and they gave me a prescription for pain pills. Then they kind of hustled me out of there. (Clarified to what happened at the ER.)
Your avatarwhat was your hospitalization for when you were 16? (Clarified to Why did you go to the hospital when you were 16?.) Question
08/25/20 12:32 PM EDT
08/25/20 12:18 PM EDT
Your avatar Weight: 90 kgExam Action
08/25/20 12:18 PM EDT
Your avatar BMI: 31Exam Action
08/25/20 12:18 PM EDT
Your avatar Random blood glucose: 238 Exam Action
08/25/20 12:18 PM EDT
Your avatar Temperature: 101.1 F Exam Action
08/25/20 12:18 PM EDT
Your avatar Blood pressure: 142/82 Exam Action
08/25/20 12:18 PM EDT
Your avatar Respiratory rate: 19 Exam Action
08/25/20 12:18 PM EDT
Your avatar O2 sat: 99%Exam Action
08/25/20 12:18 PM EDT
Your avatar Heart rate: 86Exam Action
08/25/20 12:18 PM EDT
Your avatarHi Ms Jones, My name is xxx and I am a nurse practitioner student here to take care of you.Greet
08/25/20 12:19 PM EDT
Tina JonesHey.
Your avatarWhat brings you in to the clinic today? Question
08/25/20 12:20 PM EDT
Tina JonesI got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pain is killing me!
Your avatarThat sounds very uncomfortable. Empathize
08/25/20 12:21 PM EDT Tina JonesI appreciate you saying that.
Your avataron a scale from 1-10, what is your pain level right now Question
08/25/20 12:21 PM EDT
Tina JonesI'd say a 7. It hurts a lot, and the pain pills haven't kicked in yet.
Your avatarWhat pain medication are you taking? Question
08/25/20 12:22 PM EDT
Tina JonesIt's called tramadol.
Your avatarDo you know the strength of the tramadol? Question
08/25/20 12:22 PM EDT
Tina JonesI'm not 100% sure, but I think they're 50 milligrams.
Your avatarOk. How often do you take the tramadol? Question
08/25/20 12:22 PM EDT
Tina JonesI've been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON]
Your avatarHas tramadol been helping with the pain? Question
08/25/20 12:22 PM EDT
Tina JonesYeah, the pain pills help, but only for a few hours.
Your avatarWhat other medications do you take at home? Question
08/25/20 12:23 PM EDT
Tina JonesLately, just the tramadol...and I used my inhaler a few days ago.
Your avatarWhat kind of inhaler do you use? Question
08/25/20 12:23 PM EDT
Tina JonesIt's just a regular Proventil inhaler.
Your avatarHow often do you use the proventil inhaler? Question
08/25/20 12:23 PM EDT
Tina JonesWhen my breathing acts up, I just use two puffs from my albuterol inhaler, though
lately I sometimes need three. [AUDIO COMING SOON]
Your avatarWhen you say your breathing acts up, what exactly does it feel like? (Clarified to Can you describe your breathing problems?.) Question 08/25/20 12:24 PM EDT
Tina JonesWhen my asthma acts up, I feel like my chest is tight, like I can't really take in air.
And I usually wheeze. (Clarified to to describe my breathing problems.)
Your avatarThat sounds scary. Empathize
08/25/20 12:25 PM EDT
Tina JonesI appreciate you telling me that.
Your avatarDo you take any herbal medications? Question
08/25/20 12:25 PM EDT
Tina JonesNo, I don't take anything herbal.
Your avatarHow long ago did you originally scrape your foot? Question
08/25/20 12:26 PM EDT
Tina JonesWell, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days.
Your avatarHow did you scrape it? Question
08/25/20 12:26 PM EDT
Tina JonesI was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of turned my ankle a little bit. And I scraped up my foot on the edge of the step.
Your avatarWhen you tripped, did you feel dizzy? Question
08/25/20 12:27 PM EDT
Tina JonesNo, I wasn't dizzy.
Your avatarWere you feeling short of breath? (Clarified to Do you have shortness of breath while walking?.) Question
08/25/20 12:27 PM EDT
Tina JonesSometimes I get short of breath when I have to hurry up the stairs to class, or when I have to walk a long way somewhere. (Clarified to if I get short of breath while walking.)
Your avatarHave you tried any treatments for the scrape on your foot? (Clarified to How have
you been treating your foot?.) Question
08/25/20 12:28 PM EDT
Tina JonesI made sure to clean it and just keep it bandaged. And I put Neosporin on it. (Clarified to what I did for my foot at home.)
Your avatarIt is good that you keep it clean. Educate 08/25/20 12:29 PM EDT
Tina JonesThat makes sense.
Your avatarDo you have any past medical history? Question
08/25/20 12:29 PM EDT
Tina JonesYeah. . . I have asthma and diabetes.
Your avatarAny allergies to medication? Question
08/25/20 12:29 PM EDT
Tina JonesYeah, I'm allergic to penicillin.
Your avatarAre you up to date on immunizations? Question
08/25/20 12:30 PM EDT
Tina JonesI'm pretty sure they are all taken care of.
Your avatarDo you remember when your last tetanus shot was? Question
08/25/20 12:30 PM EDT
Tina JonesI got a tetanus booster about a year ago.
Your avatarHave you had any surgeries in the past? Question
08/25/20 12:31 PM EDT
Tina JonesNope. No surgeries... I've been lucky.
Your avatarAny hospitalizations? Question
08/25/20 12:31 PM EDT
Tina JonesWell, I went a week ago on the day I hurt my foot to get it checked out. That was the first time I've been in the hospital since I was probably sixteen, though.
Your avatarWhat did the hospital do for your foot? (Clarified to What did the emergency room do?.)Question
08/25/20 12:32 PM EDT
Tina JonesThey cleaned the scrape... I got an x-ray... and they gave me a prescription for pain pills. Then they kind of hustled me out of there. (Clarified to what happened at the ER.)
Your avatarwhat was your hospitalization for when you were 16? (Clarified to Why did you go to the hospital when you were 16?.) Question
08/25/20 12:32 PM EDT
