How to Answer Nancy Smith Year Questions (Complete Guide)

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Original Question

Nancy Smith, a 35-year-old female, presents with an asthma exacerbation. She has had asthma since she was a child for which she was hospitalized several times. Her asthma was well controlled until the past couple of years. She has been seen in urgent care a few times over the past year (most recently 4 months ago) and was given a prescription for an inhaled steroid (she never filled), albuterol inhaler, and oral steroids. She had eczema as a child and received allergy shots for many years. Her asthma symptoms flared again 2 weeks ago, and she has been using her albuterol 4 to 5 times/day. She reports that she is very short of breath when climbing stairs or when walking to the mailbox. She has had nighttime coughing spells every day during the past week and has had to prop up herself up on pillows to breathe. She indicates that she has had similar previous flares in the past. Health information: • Meds: Proair HFA, Claritin, Flonase prn. • Spirometry: o FEV1: 81% (post-bronchodilator results with 15% increase) o FVC: 88% o FEV1/FVC ratio: 82% • Pulse ox: 93% on RA Based on the scenario provided, fully inform your patient and explain their diagnosis.

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