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Bronchitis
- 1. Mr. Sanket Patel AssistantProfessor MSN Department Sumandeep Nursing College BRONCHITIS Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 2. DEFINITION OF BRONCHITIS Bronchitis is a infection and inflammation of the bronchial tubes (bronchi), the air passages between the nose and the lungs. Bronchitis is caused by viruses, bacteria, and other particles that irritate the bronchial tubes. Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 3. Mr. Sanaket PatelAssistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 4. Mr. Sanaket PatelAssistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 5. TYPES OF BRONCHITIS 1.Acute bronchitis 2. Chronic bronchitis Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 6. TYPES OF BRONCHITIS 1.Acute bronchitis Acute bronchitis is a shorter illness that commonly follows a cold or viral infection, such as the flu season Acute bronchitis usually lasts a few days or weeks Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 7. 2. Chronic bronchitis Chronicbronchitis is a long term, irreversible respiratory illness. Chronic bronchitis have a daily mucus product cough at last 3 months a year. Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 8. Etiology & riskfactors Infection – Bacteria and virus Smoking tobacco weakness of immune systems Genetics causes Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 9. Contd… Gastroesophageal refluxdisease (GERD) Air pollution Influenza A and B virus Mycoplasma pneumonia bacteria Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 10. Signs & symptomsof bronchitis Inflammation or swelling of the bronchi Coughing Production of clear, white, yellow, grey, or green mucus (sputum) Shortness of breath Wheezing Fatigue Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 11. Cont... Fever andchills Chest pain or discomfort runny nose Sore throat Vomiting and diarrhea Cyanosis Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 12. Pathophysiology Smoke or anotherenvironment pollutant irritates airway Hyper secretion of mucus and inflammation Bronchial walls become thickened, the bronchial lumen is narrowed and mucus may plug airway so altered function of Alveoli cells Respiratory infection Emphysema and Bronchiectasis Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 13. Diagnostic evaluation Historycollection Physical examination Chest x- rays Sputum cultures Pulmonary function test Spirometer excercises Bronchoscopy Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 14. Pharmacologic management Antibiotics- azithromycin, ceftriaxone, cefixime Cough medicine - Noscapine, Dextromethorphan Bronchodilators – salbutamol, Terbutaline Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 15. Contd… Nasal decongestants: Phenylephrine, Oxymetazoline, Anti-inflammatory drugs: Ibuprofen Antiviral medicine: Acyclovir Corticosteroids drugs: Beclomethasone, dexamethasone Pulmonary rehabilitation program : this includes work with a respiratory therapist to help breathing. Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 16. HEALTH EDUCATION Avoidingtobacco smoke and exposure to second hand smoke Avoiding people who are sick with colds or the flu Getting a yearly flu vaccine Getting a pneumonia vaccine Washing hands regularly Avoiding cold, damp locations or areas with a lot of air pollution Wearing a mask around people who are coughing and sneezing Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 17. COMPLICATIONS Asthma Bronchiectasis Tuberculosis Sinusitis Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 18. NURSING DIAGNOSIS Ineffectivebreathing pattern related to shortness breathing ,mucus or broncho constriction. Ineffective airway clearence related to broncho constriction. Self care deficit related to fatigue secondary to increased effort for breathing. Activity intolerence due to fatigue and inffective breathing patterns Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 19. Nursing management AssessThe Condition Of Patient. Assess The Vital Signs Provide Comfortable Position. Change The Position Periodically. Maintain Personal Hygiene. Use pulse Oximetry & Suction. Deep Breathing Exercise Learn To Patient. Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 20. Cont... Refer ToPhysiotherapist. Provide Oxygen According To Physician Order. Provide Psychological Support To Patient. Provide Knowledge About Chronic Bronchitis. administer medication according to physician order. Bronchodilators, antibiotics, Mr. Sanaket Patel Assistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth
- 21. Mr. Sanaket PatelAssistant Professor MSN Department Sumandeep Nursing College Sumandeep Vidyapeeth