Dry Cough Essay

According to the provider, the claimant's cough has been improved. His review of systems was positive for fatigue, malaise, sleep difficulty, shortness of breath, wheezes, and a cough. His blood pressure was 115/71 mmHg and his BMI was 30.35 kg/m2. The physical examination revealed wheezes. Clonazepam was prescribed for agitation. Atorvastatin, Nystatin, Citalopram, and a probiotic were prescribed. Continued use of Aspirin and a regular inhaler were suggested. Further, a follow-up visit with Endocrinology, Cardiology, and Pulmonology. As it relates to a spot in his lung, a repeat CT scan was recommended. The bronchial washes were negative for

I have made no changes to Ms. Dahlberg's bronchodilator and inhaled corticosteroid use. She does have a prescription of prednisone at home, as she is well aware of her asthma exacerbation equivalents. She does have a history of steroid use psychosis and I advised her to initiate treatment at 40 mg per day. She should then seek further medical attention after initiating systemic steroids. She should also continue use of her current bronchodilators and inhaled corticosteroids.

Crouthamel's current bronchodilator regimen. She should also continue to use her supplemental oxygen. She has essentially had no changes on her symptoms of shortness of breath and cough. I have recommended pulmonary rehabilitation, which she is unable to do at this time given the fact that she is the primary care taker of her husband who has advanced Alzheimer's dementia. I have counseled her on the need for smoking cessation and as previously stated in my last note in April, she will have repeat CT scan performed in December 2015 for 12 month follow up of a previously identified pulmonary

I would tell the doctor to stop if he didn’t start and grab a manual ventilator and try to find a replacement mechanical ventilator.

Notified by the patient. Two patient verifier completed. Per PA Alford the patient was advised that her x-ray result were negative for pnuemonia. Currently the patient states that she is doind much better. She states that sh still has a cough but is improving. The patient denies fever, chill, SOB, and chest pain. Instructed the patient if she starts having this symptom report to the ER. Also instructed the patient if her symptoms worsen please scheudle an apt with her provider. The patient agrees and verbalize

She is keen to follow this up with yourself. Therefore please feel free to call me at any stage to discuss further but otherwise I will see Lysbet following her sleep study and CT scan in the next couple of

This is 51 year old AAF. Patient is here complaining of several issues as listed. Patietn reports for the past several days she had increased SOB at rest, non-productive cough, adiouble wheezes. Patient denies chest pain, N/V/ D. Patient is a current tobacco user wit 20 pack year hisotyr. Denies use of alcohol or illicit drug use. Denies depressive moods, current pain 3/10.

I have caught up with Bronwyn around five months since her last appointment. In early July, Bronwyn stopped Symbicort having taken the lower strength 100/3 inhaler for a couple of months. The plan was to perform a mannitol provocation test off inhaled steroids. Within ten days, Bronwyn noticed a recurrence of symptoms with wheeze and dry cough, thus I instructed her to recommence Symbicort. Again her symptoms settled and on review today, se feels quite well.

Furthermore, after reviewing J.B.’s past medical, surgical, social and family history, medication, allergies, and review the systems, the nurse practitioner student ruled out postnasal drip as the differential diagnosis because J.B. denied having a postnasal drip that might cause coughs. Upon the physical examination, the student ruled out pneumonia because J.B. had clear bilateral lung sounds. The student did not rule out pneumonia before the physical examination is because signs and symptoms alone are not reliable to rule out pneumonia. Long, Long, & Koyfman (2017) states that the diagnosis of pneumonia requires a combination of clinical presentation, medical history, and physical examinations. The physical examinations, including dullness to percussion, wheezes, and crackles are the most reliable findings. Therefore, the final

What are some of your interventions, lab tests to consider? Some interventions I would consider would be oxygen on a venti-mask, bronchodilators, corticosteroids and antibiotics. I would want to order an ABG, CBC with differential, spirometry pulmonary function test and a CT of the chest. Research by Schiska (2016) shows that along with spirometry

CASE ONE CONTINUED: She returns in three weeks. Her chest X-ray was normal. Her symptoms are unchanged.

Keep lungs as clear of mucous and secretions as much as possible. Use chest physical therapy (CPT) the purpose is to loosen thick mucus which should be done approximately four times a day. Apply oxygen therapy whenever it is needed or it is prescribed. Teach patient and family techniques for clearing or bringing up mucus or secretions from the airway; most commonly used is a cupped hands technique (Mayo Clinic Staff, 2015). Encourage coughing, deep breathing, and do not stay stationary, change positions more often.

On examination today there was a relatively dry nasal pack in the left nostril, which I

Due to its carnal attachment to the body, mucous does not require theory to think it through, but rather necessitates a hypothetical marriage to its dichotomy of valid action. Mucous assumes the character of a catalyst in procedures associated with life, such as breathing, eating, eliminating waste, conceiving, gestation and giving birth. “The mucous, in fact, is experienced from within, in the prenatal and loving night known by both sexes. But it is far more important in setting up the intimacy of bodily perception and its threshold for women.” It is believed that of all occurrences concerning the human anatomy, it is sex that most deeply influences one’s experience of space, or their capacity to conceive the absent space existing between

I then needed to carry out a respiratory assessment. I observed Mr Brown’s chest for any visible signs of scars or trauma. This appeared normal.