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Bronchitis 2

Bronchitis 2

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Published by melinda

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Published by: melinda on Oct 20, 2009
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12/30/2012

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Is an infection of the lower respiratory tract that generally follows an upper respiratorytract infection. As a result of this viral (most common) or bacterial infection, the airwaysbecome inflamed and irritated, and mucus production increases.
Assessment:
1.Fever, tachypnea, mild dyspnea, pleuritic chest pain (possible).2.Cough with clear to purulent sputum production.3.Diffuse rhonchi and crackles(contrast with localized crackles usually heard withpneumonia).
Diagnostic Evaluation:
1.Chest X-ray may rule out pneumonia. In bronchitis, films show no evidence of lunginfiltrates or consolidation.
Therapeutic Intervention:
1.Chest physiotherapy to mobilize secretions, if indicated.2.Hydration to liquefy secretions.
Pharmacologic Interventions:
1.Inhaled bronchodilators to reduce bronchospasm and promote sputum expectoration.2.A course of oral antibiotics such as a macrolide may be instituted, but is controversial.3.Symptom management for fever and cough.
Nursing Interventions:
1.Encourage mobilization of secretion through ambulation, coughing, and deep breathing.2.Ensure adequate fluid intake to liquefy secretions and prevent dehydration caused byfever and tachypnea.3.Encourage rest, avoidance of bronchial irritant, and a good diet to facilitate recovery.4.Instruct the patient to complete the full course of prescribed antibiotics and explain theeffect of meals on drug absorption.5.Caution the patient on using over-the-counter cough suppressants, antihistamines, anddecongestants, which may cause drying and retention of secretions. However, coughpreparations containing the mucolytic guaifenesin may be appropriate.

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