My grandma is a 73 year old female, she is having shortness of breath that is made worse by laying down, and is having sleep difficulty because of it. shes been a type II diabetic of 30 years, she smoked cigarettes all her life until she quit 3 years ago. she has a history of cervical cancer, which was 20 years ago. she worked in a wool factory until 5 years ago because she retired. she also has cyanosis in her fingernails. her RR is 10 and labored, her pulse is 90. her blood pressure is 130/78, her temperature is 98.6, she has labored breathing, a wheezing sound in her lungs and her neck muscles are tight from breathing.