Scenario 3Vital signs:Temperature: 100.9 oralRespiratory rate: 20, labored Heart rate: 82 BP right arm: 128/70Oxygen saturation: 89% on room airWeight: 210 lbs, stable Skin: Warm, moistThorax and lungs: Thorax symmetrical; diminished breath sounds with rales and expiratory wheezes throughout; no rhonchi; wet, productive cough noted during examCardiovascular: Heart rate regular with good S1, S2; no S3 or S4; no murmurAbdomen: Protuberant, with normoactive bowel sounds auscultated x4 quadrantsPeripheral vascular: No pedal edema; 2+ dorsalis pedis pulses bilaterally Neurologic: Awake, alert, and oriented to person, place, and time——————————————————————————————————————————- REMINDER: Please make a SOAP NOTE for this case. Make your own patient’s data, applicable health history, review of systems, P.E., labs, etc. Incorporate the data from the case 2 in the SOAP note that you will do… This is not essay ok…. I need SOAP note (Nurse Practitioner/RN/MD makes SOAP note)… Be guided with the templates/exemplar… Don’t copy paste. Formulate your own… Don’t forget to cite the Five different possible conditions (Differential diagnosis) and have Reference lists too. RESOURCES:
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