HISTORY:
for
,
,
Worsening factors:
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Nose:
Throat:
Neck:
Heart: ,
Lungs: ,
ASSESSMENT:
DDx:
PLAN:
- Chest X-ray
- Blood gaz
- Peak flow
- Pulmonary function tests
- Increase
- Increase
- Increase
-
-
- Oxygen therapy if SpO2 < 92%
- Ensure proper inhalation technique and spacer use
- Smoking cessation counseling
- Referral to pulmonologist
- Follow-up in