Patient complaints or symptoms of shortness of breath

HA19 W5R2 – Patient complaints or symptoms of shortness of breath, dyspnea, orthopnea, wheezing, cough, hemoptysis, sore throat, and earache will help the practitioner shape their history and physical to help identify and diagnosis abnormal findings
Title HA19 W5R2 Prefered Language style English (U.S.)
Type of document Essay Number of pages/words 1 Page Double Spaced (approx 275 words per page)
Subject area Nursing Academic Level Master
Style APA Number of sources/references 2
Order description:
Brianne Conklin
Tuesday Feb 5 at 4:56pm
Manage Discussion Entry
Patient complaints or symptoms of shortness of breath, dyspnea, orthopnea, wheezing, cough, hemoptysis, sore throat, and earache will help the practitioner shape their history and physical to help identify and diagnosis abnormal findings (Fenstermacher, & Hudson, 2016). Some common respiratory conditions that require changes to the history and physical are pneumonia, asthma, and COPD. Patients with pneumonia usually present with fever, cough, and abnormal breath sounds (Hillard, 2018). The health history should rule out if the patient could have been infected during a recent hospitalization (Fenstermacher, & Hudson, 2016). A patient with pneumonia will have a pulse oximetry reading of > 95% and it should stay above this level with exertion (Fenstermacher, & Hudson, 2016). A chest x-ray can be used to confirm the diagnosis, the x-ray will reveal consolidation in the alveoli that are filled with fluid (Hillard, 2018). The patient with asthma will often have symptoms of coughing, wheezing, and shortness of breath (McCance, & Huether, 2014). The health history should explore possible triggers that may include hot or cold temperatures, environmental allergens, food allergens, exercise tolerance, and emotional stressors (Fenstermacher, & Hudson, 2016). The patient with asthma will have expiratory wheezing, prolonged expiration, and nasal flaring with accessory muscle use may also be present (McCance, & Huether, 2014). The modified asthma predictive index may help with diagnosis of asthma, but pulmonary function testing is required for diagnosis (McCance, & Huether, 2014). Like asthma, patients with COPD require pulmonary function testing for diagnosis (Fenstermacher, & Hudson, 2016). When suspecting COPD, the practitioner should ask the patient about chronic exposure to tobacco smoke, air pollution, history of air way infections, and dust and chemical exposure from environmental sources (Fenstermacher, & Hudson, 2016). Some of the physical symptoms of chronic hypoxia that may be seen with COPD patients includes clubbing finger nails and an increased anteroposterior (AP) diameter (Dains, Baumann, & Scheibel, 2016).
References

Dains, J., Baumann, L., & Scheibel, P. (2016). Advanced Health Assessment & Clinical Diagnosis in Primary Care. [VitalSource]. Retrieved from https://online.vitalsource.com/#/books/9780323266253/

Fenstermacher, K., & Hudson, B. (2016). Practice Guidelines for Family Nurse Practitioners. [VitalSource]. Retrieved from https://online.vitalsource.com/#/books/9780323290807/

Hilliard, L. (2018). Achoo! Cough, Runny Nose, and Fever. Pediatric Nursing, 44(3), 142–143. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=130397367&site=ehost-live

McCance, K., Huether, S. (2014). Pathophysiology: The Biologic Basis for Disease in Adults and Children, 7th Edition. [Bookshelf Online]. Retrieved from https://online.vitalsource.com/#/books/9780323088541/

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