NSG 2317 Lecture Notes - Lecture 5: Paroxysmal Nocturnal Dyspnoea, Ace Inhibitor, Chest Pain
7 Nov 2016
School
Department
Course
Professor
Document Summary
65 yo patient with a history of heart disease complains of being awakened from sleep with shortness of breath. We are in assessment and therefore we can cross off everything that is an intervention. Always look for what you would do first. a) obtain a detailed hx of the patient(cid:495)s allergies and asthma. Bronchitis occurs with people waking up at 2 or 3 in the morning and coughing the most, so if someone says that is when they are coughing a lot then we can suspect bronchitis. Are you sob at rest or with certain physical activity. Wheeze is a difficulty in getting air out. If you can hear it without a stethoscope then mark that down. Seasonal allergies, asthma, and eczema all manifest in the same way but in different areas. Activity and tolerance: what is the specific thing that brings it on. There are certain things that actually cause coughing, for example, ace inhibitors.
