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Masters level FNP Pharmacology casr study question:

Marissa is a 7 year old female coming to the clinic withincreased wheezing, coughing, and difficulty breathing. She wasdiagnosed with asthma 2 years ago. She uses an albuterol inhaler tomanage her symptoms and has been using it regularly 3 – 5 times aday for the past 3 months.

Medications include Albuterol HFA 2 puffs Q4H prn. Children’smultivitamin QD. Children’s chewable Vitamin C tablet QD.

Allergies: NKDA

ROS: A 14 point review of systems was negative except what isnoted above.

Physical examination:

GEN: well-developed child in mild distress at visit.

VS: BP 121/78, HR 94, RR 16, T 98.5

CHEST: wheezing on inspiration and expiration

HEENT: normal

COR: normal

ABD: normal

NEURO: normal

EXT: normal

Describe your differential diagnosis list and identify your mostlikely primary diagnosis. Thereafter describe your next stepsdiagnostically and in the way of medication changes in detail.

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Jamar Ferry
Jamar FerryLv2
28 Sep 2019

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