Asthma, Bronchitis, and COPD [Documentation Suggestions]

• Note any history of cigarette smoking, recent cold, or upper respiratory tract infection.
• Describe clinical signs and symptoms (e.g., wheezing, sore throat, cough, bronchospasm, recurrent chest tightness, etc.).
• Document work-up (e.g., chest x-ray, peak flow monitoring, pulmonary function tests, ABGs, etc.).
• Document treatment (e.g., oxygen, bronchodilators, epinephrine, corticosteroids, antibiotics, pulmonary rehabilitation, etc.).
• Note any status asthmaticus.
• Note COPD if valid by history. COPD may impact patient care, even in the absence of active treatment.
• Specify type of bronchitis (acute, chronic, asthmatic, etc.).