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BY DR.PALLAVI PATHANIA
Bronchitis is inflammation or swelling of the bronchial tubes
(bronchi),theairpassagesbetweenthenose andthe lungs.
More specifically, bronchitis is when the lining of the bronchial
tubesbecomesinflamedorinfected.
Bronchitis is caused by viruses, bacteria, and other particles that
irritatethebronchialtubes.
Accute bronchitis
Acutebronchitisisashorterillnessthatcommonly followsa
coldorviralinfection,suchastheflu Acutebronchitisusually
lastsafewdaysor weeks
Chronic bronchitis
Chronicbronchitisischaracterizedbyapersistent, mucus-
producingcoughonmostdaysofthe month,threemonths
ofayearfortwosuccessive yearsinabsenceofa
secondarycauseofthe cough.
Smokers
Peoplewhoareexposedtoalotofsecondhand smoke
Peoplewithweakenedimmunesystems
Theelderlyand infants
Peoplewithgastroesophagealrefluxdisease
(GERD)
Peoplewhoareexposedtoairpollution
Inflammationorswellingofthebronchi
Coughing
Productionofclear,white,yellow,grey,orgreen mucus
(sputum)
Shortnessof breath
Wheezing
Fatigue
Feverand chills
Chestpainor discomfort
Blockedorrunnynose
History collection
Physicalexamination
Chestx- rays
Sputum cultures
Pulmonaryfunction test
Spirometer excercises
Bronchoscopy
Antibiotics- theseareeffectiveforbacterial infections,but
notforviralinfections.Theymayalso preventsecondary
infections.
Coughmedicine- onemustbecarefulnotto completely
suppressthecough,foritisanimportant waytobringup
mucusandremoveirritantsfromthe lungs.
Bronchodilators- theseopenthebronchialtubes and
clearoutmucus.
Mucolytics- thesethinorloosenmucusintheairways, makingit
easiertocoughup sputum.
Anti-inflammatorymedicinesandglucocorticoid steroids-
theseareformorepersistent symptoms.
Pulmonaryrehabilitationprogram- thisincludeswork witha
respiratorytherapisttohelp breathing.
Ineffectivebreathingpatternrelatedtoshortness breathing
,mucusorbronchoconstriction.
Ineffectiveairwayclearencerelatedtobroncho
constriction.
Selfcaredeficitrelatedtofatiguesecondaryto
increasedeffortforbreathing.
Activityintolerenceduetofatigueandinffective
breathing patterns
1. AssessTheConditionOf Patient.
2. AssessTheVital Signs
3. ProvideComfortable Position.
4. ChangeThePosition Periodically.
5. MaintainPersonal Hygiene.
6. Usepulseoximetry&Suction.
7. DeepBreathingExerciseLearnTo Patient.
8. ReferToPhysiotherapist(if Need).
9. ProvideOxygenAccordingToPhysician Order.
10. ProvidePsychologicalSupportTo Patient.
11. ProvideKnowledgeAboutChronic Bronchitis.
12. administermedicationaccordingtophysicianorder.
Bronchodilators,antibiotics,mucolytics.
Avoidingtobaccosmokeandexposuretosecondhand smoke
Quitting smoking
Avoidingpeoplewhoaresickwithcoldsortheflu
Gettingayearlyflu vaccine
Gettingapneumoniavaccine(especiallyforthoseover 60years
of age)
Washinghands regularly
Avoidingcold,damplocationsorareaswithalotofair pollution
Wearingamaskaroundpeoplewhoarecoughingand sneezing
Asthma
Bronchiectasis
Tuberculosis
Sinusitis
Bronchitis

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