An 8-year-old with asthma known to your practice arrives in acute exacerbation. He is immediately taken to a room where a detailed history of the present illness (mild wheezing last evening, worsening this afternoon, has dry cough, used metered-dose inhaler [MDI] without relief), review of systems (no fever, no vomiting), and past history (review of medications and allergies) are performed. The physical examination includes vital signs, heart, lungs, neck, and ear, nose, and throat. The medical decision-making is moderately complex (acute exacerbation of a problem and prescription drug management). Pulse oximetry is performed and 2 nebulizer treatments with a bronchodilator are given. Physical examination after the first and second treatments reveals decreased wheezing and work of breath. The nurse documents evaluation of use of the MDI. The physician orders include the 2 nebulizer treatments, continuing treatments at home, evaluation and education on use of MDI, and return to the office...

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