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CASE PRESENTATION ON ACUTE BRONCHITIS by dr. Nasir Uddin
What is it? Acute bronchitis is a sudden inflammation of the bronchi (airways) in the lungs, usually due to an infection. It’s a self-limiting condition lasting less than 3 weeks in most cases. 📌 Causes: Viral infections (most common) Influenza virus Rhinovirus Adenovirus Coronavirus Bacterial infections (less common) Mycoplasma pneumoniae Chlamydophila pneumoniae Bordetella pertussis Other irritants: Smoke Dust Chemical fumes Pollution 📌 Clinical Features: Cough (most common, dry → productive) Low-grade fever Sore throat Runny nose / nasal congestion Wheezing Chest tightness or discomfort Fatigue Sometimes mild breathlessness (in severe cases) Note: No signs of pneumonia on examination (no crackles or bronchial breathing) 📌 Diagnosis: Usually clinical — based on history and symptoms. Chest X-ray: Done if pneumonia is suspected (fever, breathlessness, crepitations) Pulse oximetry: To check oxygen levels CBC: Mildly elevated WBC if bacterial Sputum culture: Rarely needed 📌 Treatment: Supportive care Rest Plenty of fluids Steam inhalation Warm saline gargles Antipyretics and analgesics Paracetamol Ibuprofen Antitussives (for severe cough) Bronchodilators (if wheezing) Antibiotics — usually not needed (unless bacterial infection suspected or patient is immunocompromised) 📌 Complications: Chronic bronchitis (if recurrent) Pneumonia (rare) Exacerbation in asthma or COPD patients
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CASE PRESENTATION ON ACUTE BRONCHITIS by dr. Nasir Uddin
- 1. CASE PRESENTATION ON ACUTEBRONCHITIS PRESENTED BY DR. NASIR UDDIN
- 2. DEFINITION • Acute bronchitisis a short term inflammation of the bronchial tubes.
- 3. CAUSES 1. Viral infections(e.g., rhinovirus, influenza) 2. Bacterial infections (less common) 3. Environmental factors (e.g., pollution, smoking) SIGNS AMD SYMPTOMS 1. Coughing 2. Chest discomfort or tightness. 3. Cold
- 4. DIAGNOSIS • Medical History Symptomassessment Medical history • Physical Examination Lung auscultation Vital sign assessment • Diagnostic Tests Chest X-ray Pulmonary function tests (PFTs) Blood tests
- 5. TREATMENT • Rest andhydration • Over-the-counter medications (e.g., cough suppressants) • Antibiotics (if bacterial infection is suspected) DURATION : Acute bronchitis typically lasts for 1-3 weeks, but coughing can persist for up to 4-6 weeks.
- 6. SUBJECTIVE DATA CHIEF COMPLAINTS: 42 years old female Patient came with the chief complaints of dry cough and cold since 1 week and SOB grade 2 since 1 day. HISTORY OF PRESENT ILLNESS : H/o Dry cough H/o cold,fever HISTORY OF PAST ILLNESS : H/o biofuel exposure FAMILY HISTORY : Nil PERSONAL HISTORY : Nil
- 7. PHYSICAL EXAMINATION : TEMPERATURE: afebrile PULSE RATE : 84bpm RESPIRATORY RATE : 16cpm BLOOD PRESSURE : 110/80mmHg
- 8. OBJECTIVE DATA EXAMINED VALUENORMAL VALUE HB 12.6 12-16gm% WBC 6900 4000-11000cumm RBC 4.88 4.3-5.4mil/cumm PLATELETS 3.72 1.5-4lakh/cumm S.UREA 28 15-40mg/dl S.CREATININE 6.7 0.5-1.0g/dl
- 9. OTHER INVESTIGATIONS LUNG ASCULTATION: Wheezing sounds heard during exhalation.
- 10. ASSESSMENT Based on thesubjective and objective data patient was diagnosed with the “ACUTE BRONCHITIS ”
- 11. PLAN OF CARE INVESTIGATION CONSERVATIVETREATEMENT
- 12. TREATMENT CHART S.NO DRUG NAME ACTIVE COMPOS ITION DOSEROUTE FREQUE NCY USES SIDE EFFECT S START DATE STOP DATE 1 Tab Azee Azithr omycin 500mg Po Od Antibi otic Vomiti ng, nausea 27/08/ 24 29/08/ 24 2 Tab dolo Parace tamol 650mg Po Tid Analge sic Drowsi ness,v omitin g 28/08/ 24 30/08/ 24 3 Inj pan Pantop razole 40mg Iv Od GERD Nausea , vomiti ng 28/08/ 24 02/09/ 24
- 13. S.NO DRUG NAME ACTIVE COMPOS ITION DOSE ROUTEFREQUE NCY USES SIDE EFFECT S START DATE STOP DATE 4 Inj zofer Ondans etron 4mg Iv Sos Vomiti ngs Drowsi ness 28/08/ 24 29/08/ 24 5 Syp xril am Ambrox ol, Guaife nesin, Mentho l and Terbut aline 10ml Po Tid Reliev es cough Dizine ss 27/08/ 24 02/09/ 24 6 Tab montai r lc Levoci trizin e 1tab Po Hs Anti allerg ic Headac he, stomac h upset 27/08/ 24 02/09/ 24
- 14. PHARMACIST INTERVENTION There isno drug interactions between these drugs. So, the given prescription is rational.
- 15. PROGRESSIVE CHART • DAY1 : 27/08/24 BP : 110/80mmHg PR : 84bpm Med : Tab Azee, Tab Montair Lc, Syrup xril am. • DAY 2 : 28/08/24 BP : 100/80mmHg PR : 82bpm) Med : Inj pan, Inj zofer, Tab dolo.
- 16. LIFE STYLE MODIFICATIONS •Stay away from pollutants and dust. • Get enough rest. • Avoid second hand smoke. • Stay hydrated.
- 17. DISCHARGE MEDICATION 1. Tabmontair lc – 1tab/po/Hs 2. Syrup xril am – 10ml/po/Tid 3. Tab Dolo – 650mg/po/sos