An 8-year-old patient with asthma known to your practice arrives having an acute exacerbation. She is immediately taken to an examination room, where a detailed history of present illness (mild wheezing last evening; worsening this morning; has runny, stuffy nose; used metered-dose inhaler [MDI] with no relief), review of systems (no fever, no vomiting, no known allergies), and review of medications and social history are performed. The physical examination performed includes vital signs; heart; lungs; neck; ear, nose, and throat; and abdomen. Pulse oximetry and peak flow are performed and 2 nebulizer treatments are given. The physical examination performed after the first and second treatments shows decreased wheezing and work of breath. Medications and side effects are discussed with the patient, as well as the need for urgent follow-up care with exacerbation.

The nurse documents evaluation of use and education for home use of MDI. An order is written for...

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