Soap note for asthma patient 2025

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The document is a SOAP note for evaluating asthma in patients aged 12 and older. It includes sections for subjective patient reports, objective data from physical exams and tests, an assessment of symptoms and diagnosis, and a plan for treatment. The evaluation covers the frequency of asthma symptoms, medication use, and potential comorbidities. It also provides guidelines for classifying asthma severity and control, along with a stepwise approach to managing asthma through medication adjustments and patient education.

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What is the nursing assessment for a patient with asthma?

Nursing Assessment of the Asthma Patient The assessment of a patient with asthma should begin with baseline vital signs, including a pulse oximetry reading. The patients lungs should be auscultated, and notation should be made of the patients skin color, temperature and moisture.

What is a written action plan for asthma patients?

An Asthma Action Plan is a written, individualized worksheet that shows you the steps to take to keep your asthma from getting worse. It also provides guidance on when to call your healthcare provider or when to go to the emergency room.

What is asthma in short notes?

Asthma is a chronic (long-term) condition that affects the airways in the lungs. The airways are tubes that carry air in and out of your lungs. If you have asthma, your airways can become inflamed and narrowed at times. This makes it harder for air to flow out of your airways when you breathe out.

What is asthma in your own words?

Asthma is a chronic lung disease affecting people of all ages. It is caused by inflammation and muscle tightening around the airways, which makes it harder to breathe. Symptoms can include coughing, wheezing, shortness of breath and chest tightness.

Is asthma short-term?

Asthma is a long-term condition for many people, particularly if it first develops when youre an adult.

soap note assessment example

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What is nice definition of asthma?

Asthma is a chronic respiratory condition usually associated with airway inflammation and hyper-responsiveness. Symptoms include cough, wheeze, chest tightness, and shortness of breath, with variable expiratory airflow limitation that varies over time and in intensity (may be worse at night, on waking, or seasonal).

What is the 4 4 4 rule for asthma?

Tell the operator that someone is having an asthma emergency. Keep giving the person 4 separate puffs, taking 4 breaths for each puff, every 4 minutes until emergency assistance arrives.