1545: 14-year-old presenting to the emergency department reports shortness of breath, coughing, and chest tightness. The client’s mother called 911 after he was cleaning his room when, apparently, he started using some household cleaners and started having difficulty breathing. The assessment revealed audible wheezes, tachypnea, dyspnea, and occasional non-productive cough. The physician was notified of these findings.

Temperature 98.0° F (37° C)

Pulse 100/minute 

Respirations 25/minute 

Blood Pressure 111/69 mm Hg

Pulse oximetry 94% on room air