3 3 1 a med history 2 2

Activity 3.3.1: Medical History – Visit #2 Patient’s Name: Melissa Martin Height: 52 inches Blood Pressure: 100/75 Age: 11 Weight: 70 lbs. Pulse: 73 bpm Date: February 12 Temperature: 98.6°F Respiration Rate: 22 bpm Case History On the last visit, it was determined that Melissa had a high probability of asthma. The patient was asked to measure her peak expiratory flow rate (PEFR) using a peak flow meter for one week. A peak flow meter is a simple device used to monitor how open your airways are. A patient blows into the device as hard as he or she can and records the value shown on the indicator. Melissa was tasked to keep a peak flow diary, recording peak flow at the same time each morning and evening. She was instructed to take three readings at each time period and record the best of the three readings. She was also asked to add any notes about particular activities each day, as well as other factors that may have influenced her breathing. Physical Exam  Patient’s pulse is normal. Pulse ox = 93%  No wheezing is appreciated on this appointment.  Patient’s glands are not swollen.  Patient’s speech, hearing, and vision appear normal Patient Peak Flow Monitoring SYMPTOMS – Use an X to show when you have symptoms Day1 Day2 Day3 Day4 Day5 AM Cough Wheeze Breathing Problems PM AM X PM AM PM X AM X PM AM Day6 PM AM Day7 PM AM PM X X X X X X Day 3 – Dance class at night after school/Mild coughing and chest tightness during class Day 6 – Stayed up late studying for a test/woke 2-3 times during the night Day 7 – Colder than normal outside when waiting for the bus/brief coughing spell with wheezing at school PEAK FLOW READINGS © 2014 Project Lead The Way, Inc. Human Body Systems Activity 3.3.1 Medical History – Visit #2 – Page 1 Day1 AM 250 Day2 PM 210 AM 240 Day3 PM 255 AM 240 Day4 PM 150 AM 185 Day5 PM 245 AM 275 Day6 PM 255 AM 230 Day7 PM 200 AM 230 PM 200 300 250 200 Peak Flow Rate 150 L/min 100 Time Peak Flow Ranges Green: 213-267 Yellow: 133-213 Red: below 133 Melissa’s lowest peak flow range is on day 3. Her peak flow range that day was 150 which is at the lower end of the yellow zone. Explanation of Results This graph indicates that on the days she has physical activity, for example: on day 3, her peak flow range drops to the yellow. As long as she is not doing physical activity she stays in the green zone. Recommendations Melissa will complete spirometry testing to test overall lung function. Patient was also given an inhaler of a “rescue medication” to take if wheezing or coughing keeps her from taking normal breaths. Patient will report back on response to this medication at the next visit. © 2014 Project Lead The Way, Inc. Human Body Systems Activity 3.3.1 Medical History – Visit #2 – Page 2 © 2014 Project Lead The Way, Inc. Human Body Systems Activity 3.3.1 Medical History – Visit #2 – Page 3