SOLVED3117

CD is a 61 y/o WF who presents with a chief complaint of a frequent cough with brownish-green sputum. The symptoms began 2 days ago and have not responded to Robitussin DM or increased albuterol use. Allergies Sulfa (rash) PMHx: Hypertension, COPD SHx: No EtOH, tobacco 1 ppd for 30 years Medications: Diltiazem CD 240mg po qd Albuterol 2 puffs QID Ipratropium 2 puffs QID Robitussin DM 2 tsp po every 4 hrs prn VS T 101° BP 128/80 P 88 RR 26; Ht. 5’5″, Wt. 140 lb. PE: General: WF who is anxious in mild distress HEENT: PERRLA, EOMI, no LAD Lung: decreased breath sounds in RLL, dull to percussion CV RRR, no murmurs Abd Non-tender, non-distended, BS Ext no cyanosis, clubbing, or edema Genital deferred Neuro A
SCIENCE
HEALTH SCIENCE
NURSING

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