Purpose

The i-Human assignments provide students with an opportunity to experience clinical scenarios that are relevant to the lesson content through virtual patient encounters. i-Human is a highly interactive and dynamic way to enhance student learning.

 Solution:

NR603 – Week 3 iHuman ( Joseph Camella 66 years, Dyspnea)
Good Questions:
1.How can I help you today
● I’m having trouble breathing. My wife made me come in.
She’s worriedabout me.
2.Do you have any other symptoms or concerns we should discuss
● An allergic cough and runny nose. I get the cough every year
during thisseason.
3.Do you wheeze?
● Normally just when my allergies act up. Lately ive sort
of noticedwheezing at night. Thats fairly new I guess.
4.Are you short of breath when lying down?
● I’m always SOB
5.Do you sleep with pillows to help you breathe?
● Just 1 pillows
6.Does anything make your cough better or worse?
● My coughing is worse when the trees shed pollen
7.Are you taking any prescription medications?
● Yes indeed. I brought my list with me here. Lisonopril 10mg
2
daily, HCTZ 25mg daily, glipizide 5mg daily. Also use a CPAP
machine, though it’s notreally a medicine.
8.Are you taking any OTC or herbal medications?
● Aleve for shoulder pain and Allergra for the allergies
9.Do you have any allergies?
● Sulfa drugs, I am pretty sure im allergic to tree and grass
pollen andragweed
10.Do you now or have you ever smoked or chewed tobacco
● I was a big time smoker in the past. Started when I was 16. A
pack a day,but i stopped 10 years ago. That was hard to do.
11.Do you have a problem with fatigue/tiredness
● I sure do. I get tired when i exert. I think im really out of
shape, but i also dont sleep great due to sleep apnea, and this
makes me tired during theday too
12.Have you been having fevers?
● no