An established patient is seen immediately on arrival in the office with complaints of shortness of breath and wheezing that started in the middle of the day and have progressed in severity without relief from treatments performed at home. A detailed history and examination are performed. The physical examination shows a child in acute distress with bilateral wheezes, poor air movement, and hypoxia. He is given a continuous nebulizer treatment with albuterol over a period of 90 minutes. An assessment is performed every 15 minutes. After 90 minutes, he is improved. Before he is sent home, the nurse evaluates his use of the nebulizer.
This visit would be reported as follows:
Note the following guidelines when reporting continuous inhalation treatment: