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Lower Respiratory Tract Upper Respiratory Tract Infection Bacterial Infection

Acute bronchitis is an infection of the lower respiratory tract caused by viruses or bacteria. It follows an upper respiratory infection and causes inflammation and increased mucus in the airways. Symptoms include fever, cough with clear to purulent sputum, and diffuse wheezing. Chest x-rays can rule out pneumonia. Treatment involves chest physiotherapy, hydration, bronchodilators, antibiotics, and symptom management. Nursing care focuses on mobilizing secretions, ensuring fluid intake, rest, avoiding irritants, completing antibiotics, and educating on symptom recognition and smoking cessation.

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Eimhie Lee Casi
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82 views2 pages

Lower Respiratory Tract Upper Respiratory Tract Infection Bacterial Infection

Acute bronchitis is an infection of the lower respiratory tract caused by viruses or bacteria. It follows an upper respiratory infection and causes inflammation and increased mucus in the airways. Symptoms include fever, cough with clear to purulent sputum, and diffuse wheezing. Chest x-rays can rule out pneumonia. Treatment involves chest physiotherapy, hydration, bronchodilators, antibiotics, and symptom management. Nursing care focuses on mobilizing secretions, ensuring fluid intake, rest, avoiding irritants, completing antibiotics, and educating on symptom recognition and smoking cessation.

Uploaded by

Eimhie Lee Casi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Acute Bronchitis

 Is an infection of the lower


respiratory tract that generally
follows an upper respiratory
tract infection. As a result of
this viral (most common) or
bacterial infection, the airways
become inflamed and irritated,
and mucus production increases.

Assessment:

1. Fever, tachypnea, mild dyspnea,


pleuritic chest pain (possible).
2. Cough with clear to purulent
sputum production.
3. Diffuse rhonchi and
crackles(contrast with localized crackles usually heard with pneumonia).

Diagnostic Evaluation:

1. Chest X-ray may rule out pneumonia. In bronchitis, films show no evidence of lung
infiltrates or consolidation.

Therapeutic Intervention:

1. Chest physiotherapy to mobilize secretions, if indicated.


2. Hydration to liquefy secretions.

Pharmacologic Interventions:

1. Inhaled bronchodilators to reduce bronchospasm and promote sputum expectoration.


2. A course of oral antibiotics such as a macrolide may be instituted, but is controversial.
3. Symptom management for fever and cough.

Nursing Interventions:

1. Encourage mobilization of secretion through ambulation, coughing, and deep breathing.


2. Ensure adequate fluid intake to liquefy secretions and prevent dehydration caused by
fever and tachypnea.
3. Encourage rest, avoidance of bronchial irritant, and a good diet to facilitate recovery.
4. Instruct the patient to complete the full course of prescribed antibiotics and explain the
effect of meals on drug absorption.
5. Caution the patient on using over-the-counter cough suppressants, antihistamines, and
decongestants, which may cause drying and retention of secretions. However, cough
preparations containing the mucolytic guaifenesin may be appropriate.
6. Advise the patient that a dry cough may persist after bronchitis because of irritation of
airways. Suggest avoiding dry environments and using a humidifier at bedside.
Encourage smoking cessation.
7. Teach the patient to recognize and immediately report early signs and symptoms of acute
bronchitis.

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