QQ-3101 Emma Johnson - Nursing – Sinimol Augustine – Upper Respiratory Tract Infection

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Dr B Townsend

Emergency Department

Newtown Children Hospital

Dear Dr Townsend,

Re: Emma Johnson, aged 11 years

I am writing this letter to refer Emma Johnson for minimal relief urgent assessment owing to her diagnosis of severe asthma tragened by viral upper respiratory tract infection.

Initially, On 30/11/2009, Emma johnson was brought to our practice with complaints of rinning nose, mild fever along with cough for last 2 weeks. On examination no obvious wheeze and focus signs in chest were noted . Pulse expiratory flow rate(PEFR) is 250 L/min. She had slight temperature for which pulucclumol and fluids was commenced for the viral upper respiratory infection. On 21/12/2009, she returns with same symptoms except fever. On examination the possible asthma signs was noted there.

As a part of treatment, Mrs pas was commenced on ventolen, zpuffs uncles the supervisor and it revealed but she uses the inhaler incorrect. Therefore health education has provided about the use of inhaler with spaces. She commented that the way she found from pharmacists is different.

In view of the above, it would be appreciated if you could give proper instruction on the use of inhaler in clear for Mrs Paro.

Should you require any queries, please feel free to contact me.

Yours faithfull,

District Nurse.

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