Follow up visit

Pulmonology
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Date of last visit: [text]

Current Management
Patient is on [checkbox name="field_controller" value="no controller medication/s|Flovent 44|Flovent 110|Flovent 220|Symbicort 80|Symbicort 160|Advair HFA 45|Advair HFA 115| Advair HFA 230|Pulmicort 0.25mg|Pulmicort 0.5mg|Advair Diskus 100| Advair Diskus 250| Advair Diskus 500"]- [checkbox name="field_dose" value="1 puff|2 puffs|1 unit nebulized"]- [checkbox name="field_frequency" value="once a day|twice daily"]. [checkbox name="field_othermeds" value="Also on"] [checkbox name="field_singulairdose" value="Singulair 4mg daily|Singulair 5mg daily|Singulair 10mg daily"][text].

Spacer [select value="is used always|is often used (not always)|is only used sometimes|is not used at all|is not necessary"] when using inhaler medications.
[text]

Medication Adherence:
Average frequency of missed doses of controller medication is about [checkbox name="field_misseddose" value="0 (never misses a dose)|1-2 days/week|3-4 days/week|5-7 days/week"].

Spacer Technique:
[checkbox name="field_spacertechnique" value="Not applicable|Describes appropriate technique|Demonstrated appropriate technique"]

Recent Asthma Control (past 4 weeks):
Patient has had [checkbox name="field_daytimesx" value="no daytime symptoms|daytime symptoms once or twice a week|daytime symptoms more than twice in a week"].
Nocturnal symptoms [checkbox name="field_nighttimesx" value="- none at all|present once or twice a month|present more often than twice a month"].
Patient has [checkbox name="field_albuteroluse" value="not used the rescue medication at all|used rescue medication"][checkbox name="field_albuterolfrequency" value="~ once a week or less|~ 2 to 3 times a week|~ 1 to 2 times a day|~ more than 3 times a day"].

Exercise-induced symptoms:
Patient's symptoms [checkbox name="field_interfereactivity" value="do not interfere with exercise or activity|interfere with exercise or activity only when ill|sometimes interfere with exercise or activity, even when well|always interfere with exercise or activity"].
[text]

Recent exacerbations:
There have been [text] hospitalizations, [text] ICU admissions, [text] ER/Urgent Care visits, [text] outpatient visits, and [text] systemic steroid burst/s since last visit to Peds Pulmonology office.
[text]

[checkbox name="field_recentexacerbation" value="No exacerbations since last visit|Most recent exacerbation was"][text].

[checkbox name="field_symptomspresent" value="Usual symptoms include"] [checkbox name="field_symptoms" value="cough|wheezing|shortness of breath|chest tightness|chest congestion|nighttime awakening|no symptoms related to asthma"].
[checkbox name="field_patternpresent" value="Symptom pattern seems"] [checkbox name="field_pattern" value="year-round|seasonal|episodic|non-specific/random"][text].
[checkbox name="field_triggerspresent" value="No clear trigger/s|Trigger/s include"] [checkbox name="field_triggers" value="dust|URI|mold|dustmites|cockroach|animal dander|pollen|smoke|changes in weather|activity (e.g., playing, exercise)"][text].

[text]
Date of last visit:

Current Management
Patient is on - - . .

Spacer when using inhaler medications.


Medication Adherence:
Average frequency of missed doses of controller medication is about .

Spacer Technique:


Recent Asthma Control (past 4 weeks):
Patient has had .
Nocturnal symptoms .
Patient has .

Exercise-induced symptoms:
Patient's symptoms .


Recent exacerbations:
There have been hospitalizations, ICU admissions, ER/Urgent Care visits, outpatient visits, and systemic steroid burst/s since last visit to Peds Pulmonology office.


.

.
.
.

Result - Copy and paste this output:

Home Forums Follow up visit

This topic contains 0 replies, has 1 voice, and was last updated by  tucsonlungdoc 3 months, 1 week ago.

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    Date of last visit: Current Management Patient is on – – . . Spacer when using inhaler medications. Medication Adherence: Average frequency of missed
    [See the full post at: Follow up visit]

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