reason for primary care visits in the United States. Acute bronchitis (AC) is a clinical diagnosis that presents with a cough related to acute inflammation of the trachea and the large airways. The majority of cases diagnosed with acute bronchitis is caused by a virus. (Huether & McCance, 2017). Pathophysiology The acute or subacute onset of a cough lasting less than two to three weeks, with or without phlegm production frequently accompanied by other respiratory tract and constitutional symptoms are the hallmark signs of AC (Gonzalez & Sande, 2000). During an episode of AC, the cells of the lining of the bronchus tissues are irritated, and the mucous membrane becomes hyperemic and edematous, decreasing the bronchial mucociliary function causing the airways to become clogged by debris and irritation increases. The response causes a cough. (Fayyax & Mosenifar, 2018). Clinical manifestations include coughing up mucus that may be yellow or green, stuffy nose, fatigue, sore ribs, and wheezing (American Lung Association, 2018). The patient is this scenario has classic signs of AC and needs to be treated with antibiotics. Smith, Smucny, & Fahey (2014) discusses that prescribing antibiotics for AC reduces overall coughing including night -time coughing.
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- Spring '15
- cough, Mucus, Common cold, Cough medicine