SOLVED907

Ali’s peak flow in the past, according to his Asthma Action Plan, was 175 L/min. Discuss the significance of that reading inWhat would you expect to find on the physical exam and how would you document it? Complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 200 to 240 L/minute (baseline, 340 L/minute) and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer sufficient treatment for this asthmatic episode. PMH significant for: Diagnosed with asthma at age 18 months Moderate persistent asthma since age 19 Has been hospitalized 3 times (with 2 intubations) in the past 3 years for acute bronchospastic episodes and has reported to the emergency room twice in the past 12 months Perennial allergic rhinitis 15 years
SCIENCE
HEALTH SCIENCE
NURSING

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