No matter what kind of academic paper you need, it is simple and secure to hire an essay writer for a price you can afford at Homeworkhelp24x7. Save more time for yourself.
As the world’s best bespoke custom essay writing solutions company, we offer below services
Custom Essays
Academic Writing
Coursework Writing
PhD Dissertations
Article Summaries & Critiques
French Custom Essays
Plagiarism Scan
Original Research Reports
Editing Services
Research Essays
Term Papers
Book Reports
Case Studies
Argumentative Essays
Thesis and Essay Outlines
Research Papers
Just press the “Order now” button and let the system intuitively guide you through the process.
Choose the most convenient payment method and you can be sure that your payment details are safe with us
Everything is clear here; a writer is assigned your task to deal with it and you can just enjoy your spare time or do more important things while we are working on your paper.
All the works are checked thoroughly before delivery, and you can be sure that the writer did his best to meet all the requirements.
When you work with us, always expect 100% plagiarism-free custom papers. We have competent writers and we check your paper through professional plagiarism Checkers before submitting paper to you.
When you order a paper from us, it comes with a free cover page and a free list of bibliography references. Besides, the papers come with free formatting and in-text citations of the sources used in researching the content.
We hire highly qualified writers who have great academic background and experience in academic writing. All the writers in our company have expertise in different subjects and aim at providing you with the best service.
While we try our best to give you the best paper by following all your specific instructions, you are entitled to ask for changes and correction when you see the need to do so. All the revisions will be free of charge.
SOAP NOTE: Asthma Exacerbation 3
Patient name: A.A
Sex: Female DOB: 9/04/1995 Age: 25 years-old
Ethnicity: Hispanic.
Language: Spanish.
Marital Status: Married
Religion: Christian
SUBJECTIVE:
Chief Complaint: “I can’t cash my breath since this morning when I finished my exercise routine at gym”
History of Present Illness:
Patient is a 25-years-old that presents to the office with a chief complain of Shortness of breath, since this morning after finished workout at gym, patient with wheezing upon auscultation. Patient denied any other symptoms related.
Past Medical History:
Surgeries: N/A ( if any add it)
Hospitalizations: N/A if any add it
Chronic Medical conditions: Asthma as per records and patient statement.
Psychiatric Illnesses: None.
Injuries: None
Childhood Illnesses: Asthma since 5 years old.
Preventive Care:
Pap smear: 12/2019( Negative)
Family History:
Mother is alive: Asthma
Father is alive: Cancer and Diabetes.
Sister is alive: Diabetes
Brother: No brother
Children: No Children
Additional History:
Immunizations: All vaccines current/ Flu vaccine: 9/15/2020
Nutritional Status: Regular Diet.
Physical Trauma/ Accident: Denied
BEHAVIOR/HABIT:
Caffeine: Yes
Smoke: No
Alcohol:No
Drug: No using illicit drugs
Exercises: Moderate exercise habit
Legal Document: Patient does not have a living will and livings will/advanced not directives on records.
FUNCTIONAL STATUS:
Normal/ Independent ADL’s.
Allergies: Not Known Drug Allergies. Or what the patient has.
Medications: currently taking:
Albuterol 2.5 mg 3 or 4 times a day by nebulization, over approximately 5 to 15 minutes.
Advair Diskus 2 puff twice a day.
HEALTH CARE MAINTENANCE: She has received the influenza vaccine recently. Annual check up with primary care provider. Review of physical health, well being, and psychosocial concerns, nutritional education and guidance, and health education, guidance annually by patient chart.
OBJECTIVE: APPEARANCE: Well nourished, developed and dressed/groomed, pleasant demeanor, speech clear. Appears to be without discomfort, does not look distressed.
VITALS SIGNS:
-Blood Pressure: 100/58
-Pulse: 99 bpm
-Respiration: 24 rpm ) Not Regular)
-Temperature: 98.3 degrees Fahrenheit
-O2 saturation: 100% at room air.
-Weight: 130 lbs
-Height: 5’2”
-BMI: 22
-Pain level 0/10 on scale of pain. (If is a case with pain put scale from 0-10 and describe it) OLDCART Onset-Location-Duration-Characteristics-Aggravating-Factors-Relieving-FactoTreatment.
Respiratory: Shortness of breath, with rapid respiration, on auscultation wheezing through all
ASSESSMENT:
DIAGNOSIS:
Asthma exacerbation diagnosis due clinical presentation and physical exam.
1. Asthma exacerbation (ICD 10: J45.901).
Asthma is a disease of diffuse airway inflammation caused by a variety of triggering stimuli resulting in partially or completely reversible broncho constriction. Symptoms and signs include dyspnea, chest tightness, cough, and wheezing. The diagnosis is based on history, physical examination, and pulmonary function tests.
DIFFERENTIAL DIAGNOSTIC:
Wheezing is a relatively high-pitched whistling noise produced by movement of air through narrowed or compressed small airways. It is common in the first few years of life and is typically caused by viral respiratory tract infection or asthma, but other possible causes include inhaled irritants or allergens, esophageal reflux, and heart failure.
Chronic obstructive pulmonary disease (COPD) is airflow limitation caused by an inflammatory response to inhaled toxins, often cigarette smoke. Alpha-1 antitrypsin deficiency and various occupational exposures are less common causes in nonsmokers. Symptoms are productive cough and dyspnea that develop over years; common signs include decreased breath sounds, prolonged expiratory phase of respiration, and wheezing. Severe cases may be complicated by weight loss, pneumothorax, frequent acute decompensation episodes, right heart failure, and/or acute or chronic respiratory failure.
Hypersensitivity pneumonitis is a syndrome of cough, dyspnea, and fatigue caused by sensitization and subsequent hypersensitivity to environmental (frequently occupational) antigens. Acute, subacute, and chronic forms exist; all are characterized by acute interstitial inflammation and development of granulomas and fibrosis with long-term exposure.
Plan:
Lab test:Chest X-ray Posterior/Anterior and Lateral.
Pulse Oximetry.
Pharmacologic treatment: 1. Dry Powder Inhaler: 90 mcg/puff 2 puffs q 4–6 h as needed and 2 puffs 15–30 minutes before exercise.
2. Mometasone Dry Powder Inhaler: 110 or 220 mcg/puff 220 mcg once/day in the evening (maximum 220 mcg twice a day or 440 mcg once/day in the evening).
3. Prednisolone Short-course burst: 40–60 mg once/day (or 20–30 mg bid) for 3–10 days.
Non- Pharmacological Treatment:
1) Relaxation and breathing techniques such as yoga that help to prevent asthma symptoms and improve your overall wellbeing.
2) Continue with Regular physical activity, that help improving the performance of your heart and lungs.
3) Avoiding allergy triggers.
4) Not start smoking
Education Plans:
Increase intake of water. (2 liters/day).
High fiber diet (more than 30 g/day).
Patient educated on management of Asthma exacerbation in dietary measures and preventions of further complications of her new medications treatment, also to contact the provider if an abnormally or knew symptoms occurs.
Return to the Clinic after more Labs and Test was done to review results.
Follow-ups/Referrals: -Referrals to Pulmonologist for follow up and further treatments.
-Follow up in two weeks to evaluated patient and other laboratory testing results.
NOTE:
We have worked on a similar assignment and our student scored better and met their deadline. All our tasks are done from scratch, well researched and 100% unique, so entrust us with your assignment and I guarantee you will like our services and even engage us for your future tasks. Click below button to submit your specifications and get order quote
The papers we provide serve as model papers for research candidates and are not to be submitted ‘as is’. These papers are intended to be used for reference purposes only. We only offers consultation and research support and assistance in research design, editing, and statistics.
Email:
writers24x7@gmail.com
Phone:
+254 769 316 835
