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(ASTHMA)
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Subjective Data
Treated during previous ED visit with nebulized albuterol and responded quickly
Allergic to cigarette smoke
Began to experience increasing tightness in her chest and shortness of breath when
she returned home following her previous ED visit
Used the albuterol several times after she returned home with no relief
Diagnosed with asthma 2 years ago
Does not have a health care provider and is not on any medications
Objective Data
Physical Examination
Sitting upright and using accessory muscles to breathe
Talks in one-to-three-word sentences
RR: 34 and shallow
Audible wheezing
Auscultation of lung fields reveals no air movement in lower lobes
HR: 126 bpm
Noted to be extremely anxious and restless
Diagnostic Studies
ABGs: pH 7.46, PaCO2 36 mmHg, PaO2 76 mmHg, O2 saturation 88%
Chest x-ray: bilateral lung hyperinflation with lower lobe atelectasis
CBC with differential and electrolytes: within normal limits
An IV is started in her left forearm with normal saline infusing at 100 ml/hr