Therefore, a thorough history, physical examination, and manifestations must be considered for accurate diagnosis. Individuals with asthma may present with dyspnea, chest pain or chest tightness, wheezing and cough, insomnia due to shortness of breath, and a whistling or wheezing sound when exhaling. Coughing or wheezing attacks that are worsened by a respiratory virus, such as a cold or the flu Mayo Clinic, 2014. As the attack gets severe, the individual inhales with the use of accessory muscles; intercostal retractions, audible wheezing, and distant breath sound may be noted. Fatigue, anxiety apprehension and severe dyspnea are also present.…