Batay ak Nuek, 87 years old, bidayuh, christian, having asthma for almost 10 years, recently diagnosed with acute exacerbation chronic obstructive airway disease (AECOAD) secondary to community acquired pneumonia (CAP), uncontrolled diabetes mellitus (DM) and possible cardiac asthma. Patient admitted to the ward on 27/02/2020 at 11:10 a.m.