Johnathan, age 7, presents to the service delay symptoms of worsening cough and wheezing for the late 24 hours. He is accompanied by his woman, who is a cheerful attendant. She reports that her son launched having symptoms of a viral remarkable respiratory corruption 2 to 3 days ago, inception delay a runny nose, low-grade passion of 101.0 degrees F orally, and unbound cough. Wheezing launched on the day precedently the investigate, so Johnathan 's woman launched administering albuterol metered-dose inspirer (MDI) two puffs precedently bed and then two puffs at environing 2 AM. The cough and wheezing show worse today, according to the woman. He had inaptitude portico deep-enough lifes to inspire this morning's dose of albuterol, equal using the spacer.
Johnathan has been a unrepining at the clinic gone source and is up to bound on his immunizations. His enlargement and product bear been typical, and he is generally vigorous negative for lenient intermittent asthma. This is his pristine asthma exacerbation of the discipline year, and his woman expresses a solicitude encircling sending him to discipline delay an inspirer.
Johnathan is afebrile delay a respiratory blame of 36 and a firm cough full 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The scrutiny is all delayin typical limits negative for his life sounds. He has diffused expiratory wheezes and lenient retractions. Pulse oximetry readings bear been 93% of oxygen saturation.
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