Notes Diagnoses & Therapeutics III RESPIRATORY DISORDERS 3

Notes Diagnoses & Therapeutics III RESPIRATORY DISORDERS 3

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Notes Diagnoses & Therapeutics III : RESPIRATORY DISORDERS Bronchitis S & S Cough Fever Fatigue HA Occasional Dyspnea Wheezing Self-Limiting Acute Bronchitis Physical Findings Temperature Lower than 101F Lungs may be clear Diffuse rhonchi clear with coughing Diagnostic testing Chest X-ray PPD CBC/WBC Sputum Management and Treatment No Antibiotics if other-wise healthy Treat secondary Infection Palliative Measures Smoking cessation Expectorants Cough suppressive Avoid Antihistamines Bronchodilator Chronic Bronchitis Production of Sputum for 3 months annually for 2 years with cough Etiology : prolonged exposure to irritants S & S after age 60
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Unformatted text preview: – Cough worse in AM – Dyspnea on exertion – Adventitious sounds – Barrel Chest – Polycythemia Chronic Bronchitis • Differentiation – Asthma, Heart failure; pneumonia, Asbestosis • Diagnostic findings – Spirometry – FEV/FVC ration < 70 % – Chest x-ray- hyperinflation • Prevention – Minimize exposure Chronic Bronchitis Management • Non Pharmacological • Fluids • Training • Breathing techniques • Avoid high altitudes • Infection control • Pharmacological • By Stage • Bronchodilators • Glucosteroids • Xanthine’s • Anticholinergic’ • Inhaled corticosteroids...
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  • Spring '14
  • SUSANKRENITSY-KORN
  • chronic bronchitis

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