Acute Bronchitis.pptx

7/27/2019 Acute Bronchitis.pptx

1/38

Acute Bronchitis


2/38

Foreword


3/38

Foreword

We the group 1 of BSN III student of Calayan EducationalFoundation Inc. Had our exposure at Dona Marta Memorial DistrictHospital under the supervision of our clinical instructor Mrs. Shirley

May De Gracia. We are assign at medicine ward. The groupedencountered different type of client with various condition.We areable to put into practice our existing knowledge and skills and moreimportantly gained more experience essential for nursing practice.Upon much evaluation of the case, each one of us critically chosena patient that we can use in our individual case study. This case is

about a 17 yrs. Old male diagnosed with Acute Bronchitis. AcuteBronchitis is a stone in the gallbladder and pain in the right upperquadrant radiating to the shoulder can be felt.

The case study will present the background, diseaseprogression and the nursing implication ofAcute Bronchitis


4/38

Dedication


5/38

This case study is lovingly dedicated to our

Clinical Instructor never failed to teach, guide

and support us to our respective family who

have been our constant source of inspiration,

who always supports us in everything, we also

offers our regards and blessing to all of thosewho supported us in respect during the

completion of the case study and most of all to

the Almighty God who guided us through theway, who give us strength and good health while

doing this Case Study.


6/38

Objective


7/38

I conducted this study to enhance my knowledge

and understanding about the Pathology of the

Acute Bronchitis, the manifestation, the different

diagnostic procedure and the different nursing

intervention that I can used in future exposure

with client with same diagnosis.


8/38

Case Introduction


9/38

Acute bronchitis is inflammation of the tubesthat carry air to the lungs (bronchial tubes).

When these tubes are inflamed, they swell andproduce mucus. Acute bronchitis usuallydevelops rapidly and lasts 2 to 3 weeks inotherwise healthy people.

Is an infection of the lower respiratory tract thatgenerally follows an upper respiratory tractinfection. As a result of this viral (most

common) or bacterial infection, the airwaysbecome inflamed and irritated, and mucusproduction increases.


10/38


11/38

Pt. Data


12/38

Name: Jhona Jhean Rebllon

Age: 17 years old

Sex: Female

Birthdate: March 6, 2011

Status: SingleAddress: Atimonan, Quezon

Religion: Roman Catholic

Date of Admission: 7/16/13Chief Complaint: Cough, Colds, Dyspnea, Fever

Diagnosis: Acute Bronchitis


13/38

Physical Assessment


14/38

Normal values Outcome Interpretation

Axillary temp 37C 36.7 Normal

Respiratory rate 12-20bpm 18bpm Normal

Pulse rate 60-100bpm 84bpm Normal

BP 120/80mmHg 130/60

July 12, 2013 ; 8am

Normal values Outcome Interpretation

Axillary temp 37C 36.7 Slightly increased due to hot

environment

Respiratory rate 12-20bpm 18bpm Normal

Pulse rate 60-100bpm 84bpm Normal

BP 120/80mmHg 130/60 Slightly increased due to hot

environment

July 12, 2013 ; 8am


15/38

Head To Toe Assessment

Head to toe Assessment

Skin

Warm to touch, dark complexion, no lesion or scar noted and

dry. Nails

With dirty finger nails

Head and face

Head is appropriate with the body, hair is black and oily,

face is symmetrical

Eyes

Black pupil, with pale sclera


16/38

Nose

The septum is in the midline, no mucosaldischarged noted

Mouth

With pale lips

Neck

No mass nor lesions noted Abdomen

With occurring no ciceptive and radiating painon the right lumbar region going to the epigastric

region, no tenderness upon palpation, no lesionnoted


17/38

Laboratory Test


18/38

06/16/13 Result Normal Values Interpretation

RBC 3.7 4-6X10 12/1 Slight decrease

Hemoglobin 112 g/l M: 130-180 g/l

F: 120-160 g/l

Slight decrease

Hematocrit 0.35 g/l M: 0.40-0.54

F: 0.36-0.47

Slight decrease

B.T (Dukes) None 1-4 mins

C.T. (Slide) None 2-5 mins.

Platelet 400 150-400x10 9/L Normal


19/38

06/16/13 Result Normal Values Interpretation

WBC 9.0 4-11x10 9/L Normal

Differential Count

Segmenters 75 50-70 There's apresence infection

Lymphocytes 23 25-40 Slight decrease

Monocytes 1 0-8 Normal

Eosinophils 1 0-4 Normal

Stab None 0-3

Basophils None 0-2

Others None

Blood Typing None


20/38

Normal Anatomy and

Physiology


21/38


22/38

Pathophysiology


23/38

Environment pollutant

Irritate in airway

Hypersecretion ofmucous

Inflammation Thickened bronchial wall

Narrowing of bronchial

lumen

Mucous plug the airway

Acute bronchitis


24/38

Clinical Management


25/38

Doctors Order Rationale Nursing Responsibilties

07/16/13

Pt. Admit

Secure Consent

Total Parenteral Nutrition

with Rapid Fever

Soft Diet for CBC


26/38


27/38


28/38

Drug Study


29/38

Therapeutic

Effect

Action Contraindica

tion

Side Effects Intervention Dosage

Expectorant increases thevolume and

reduce the

viscosity of

tenacious

sputum and

is used as anexpectorant

for

productive

cough.

Hypersensitivity.

GIdiscomfort,

nausea and

vomiting;

dizziness,

drowsiness,

headache;rash;

decreased

uric acid

levels;

urinary

calculi (large

doses).

WARNING:Monitor

reaction to

drug;

persistent

cough for

more than 1wk, fever,

rash, or

persistent

headache

may indicate

a more

serious

condition.

5ml TID

Guafenesin/Chloramphenamine


30/38

Therapeutic

Effect

Action Contraindicatio

n

Side Effects Intervention Dosage

Antiasthmatic

and COPD

preparation

It relieves nasal

congestion and

reversible

bronchospasm by

relaxing

the smoothmuscl

es of the

bronchioles.

Hypersensitivity

to adrenergic am

ines-

Hypersensitivity

to fluorocarbons

1.Nervousness

2.Restlessness

3. Tremor

4. Headache

5. Insomnia6

. Chest pain

7.

Palpitations

8. Angina\9. Arrhythmias10

Hypertension11

\S. Nausea and v

omiting

12.

Hyperglycemia

13. Hypokalemia

Cardiac disease i

ncluding coronar

y insufficiency, a

history of stroke

, coronary artery

diseaseand

cardiac

arrhythmias

5 ml TID

Salbutamol


31/38


32/38


33/38

Nursing Care Plan

Assessment Diagnosis Planning Intervention Rationale Evaluation


34/38

ssess e g os s g e ve o o e v u o

Subjective:

Nahihiripan ako

huminga as

verbalized by the

patient

Objective:

Presence of

rhonchi

Ineffective cough

Colds

Restlessness

Changes ofRespiratory Rate

Ineffective airway

clearance related

to excessive,

thickened mucous

secretions

After 8 hours of

nursing

intervention the

patient will

maintain airway

patency

Monitor Vital signs

Place the pt. in

fowlers or semi-

fowlers position

Avoid exposure to

irritants such as

cigarette smoke,

aerosol and fumes

Auscultate breath

sounds

Increase fluid intake

Suction as ordered

Provide oxygen

inhalation as ordered

Administer

medication as ordered

Encourage the

opportunities for rest;

limit activities to

level of respiratory

tolerance

Serves as baseline

data

To facilitate

maximum lung

expansion

To avoid allergic

reaction

To as certain status

and note progress

Helps liquefysecretions

To clear airway

Provide adequate

amount of oxygen

Will help loosen

secretions for easyexpulsion.

Prevents or reduces

fatigue

After 8 hours of

nursing

intervention the

patient maintained

airway patency


35/38

Prognosis


36/38


37/38

Discharge Planning


38/38

Documents

Acute Bronchitis.pptx