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58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in...

58 yo female presents to clinic c/w SOB and increasing slowly for yrs.
Symptoms worse in recent months, last 2 days much worse with productive cough.
Ankles swelling.

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Answer #1

Ask the client you are any heart disease ,lungs disease .

Heart are not adequate pumping ,decrease cardiac out put and lower extermities blood on return in the heart . Ankle swelling is present .after fluid overload in pulmonary circulation cause difficulty in breathing ,chest pain ,productive cough,...

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