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  • Subjective Objective Assessment Plan

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    -Lauяeиs© Tolosa
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    A 25-year-old female presented with sharp left-sided chest pain and shortness of breath. On examination, she had decreased breath sounds and oxygen saturation of 84%, consistent with hypoxemia. She was admitted with a diagnosis of catamenial pneumothorax and treated with oxygen therapy, monitoring, and planned for lung expansion therapy and potential transfer to the ICU for close monitoring.

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    pneumothorax

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    A 25-year-old female presented with sharp left-sided chest pain and shortness of breath. On examination, she had decreased breath sounds and oxygen saturation of 84%, consistent with hypoxemia. She was admitted with a diagnosis of catamenial pneumothorax and treated with oxygen therapy, monitoring, and planned for lung expansion therapy and potential transfer to the ICU for close monitoring.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    7 views1 page

    Subjective Objective Assessment Plan

    Uploaded by

    -Lauяeиs© Tolosa
    A 25-year-old female presented with sharp left-sided chest pain and shortness of breath. On examination, she had decreased breath sounds and oxygen saturation of 84%, consistent with hypoxemia. She was admitted with a diagnosis of catamenial pneumothorax and treated with oxygen therapy, monitoring, and planned for lung expansion therapy and potential transfer to the ICU for close monitoring.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Subjective

    Objective

    Assessment

    Plan

    Cc: sharp left sided chest pain and shortness of breath

    BP:130/90 RR:29 bpm PR:98 bpm

    Name: Pt. CK Age: 25 yr old Gender: Female

    O2 sat: 84% @ R.A

    Hypoxemia

    Admitting diagnosis: Catamenial Pneumothorax

    Insp: Pt. is awake, diaphoretic,use of accessory muscle is visible, tachypneic

    O2 therapy, monitoring of O2 saturation via pulse oximetry

    Difficulty of breath

    O2 therapy, aerosol therapy if needed, high back rest position

    Pal:Decresed tactile fremitus

    Atelectasis

    Perc: Hyper resonant

    Consolidation

    Ausc: Decreased breath sound

    Air trapping

    Aerosol therapy, lung expansion therapy Plan modification: Move to ICU for close monitoring, lung expansion therapy if tolerated

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