Free Respiratory Therapy Note Template

Therapy Note

Patient Name: Carlos Martinez
Patient ID: CM205085
Date of Therapy: 12th August, 2050

Respiratory Treatment

During the therapy session, Mr. Martinez underwent a nebulizer treatment for approximately 25 minutes. The treatment aimed at easing the symptoms of the chronic bronchitis that he has been experiencing. Nebulized medications, including Bronchodilator Albuterol and Corticosteroid Budesonide, were administered to alleviate his shortness of breath, clear his airways and reduce inflammation.

Observed Responses

Mr. Martinez showed improvement as the session progressed. His respiratory rate stabilized from 24 breaths per minute at the start of the session to 18 breaths per minute post-treatment, indicating eased breathing. There was a reduction in chest turgidity observed. No signs of allergic reactions were noted. The patient's oxygen saturation levels maintained at 95-97%, which is a good sign.

Progress

Considering the state of the patient at the start of therapy, there has been substantial progress in the right direction. Mr. Martinez reported an improvement in symptoms, including decreased frequency of coughing and fatigue during the day. His overall response to the treatment has been positive, and he is showing a gradual recovery.

Future Therapy Plans

Patient therapy will be continued for Mr. Martinez as pertinently needed based on his responses. The plan is to maintain the pace of recovery with the continuation of nebulizer therapy, calming exercises and additional medications if required. The therapy session frequency will be evaluated based on the maintained progress. Regular monitoring and reevaluation will be done to ensure effective treatment and comfort for the patient.

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