Acute Bronchitis Case Study

EH is a 68-year-old male who comes into the clinic complaining of a fever with a temperature of 103 °F. He has had a cough for the last three days that is producing some thick green brown mucous. The MD feels he most likely has bacterial pneumonia. He also has a history of having rheumatoid arthritis, and being immune compromised as he is on an immunosuppressant methotrexate. He has noted that over the last year he has lost weight unintentionally and feels he is underweight.

Bronchiolitis is defined by the textbook as, “a diffuse, inflammatory obstruction in the small airways or bronchioles occurring most commonly in children” (Heuther & McCance, 2012). It is an acute inflammatory disease of the lower respiratory tract that occurs most commonly in infants and is caused by infection with seasonal viruses such as respiratory synctial virus (RSV) (Zorc & Hall, 2010). Bronchiolitis often results from an obstruction of the small airways. It is the leading cause of infant hospitalization in the United States (Zorc & Hall 2010) and is arguably the most common significant medical illness of childhood, with at least “1 in 7 normal infants developing symptomatic bronchiolitis in his or her first year of

She denies any cough, fever, sputum production or hemoptysis. She is currently on birth control

Based on the findings from the case study was R.S has been a smoker for many years. One of the most significant risk factors for determining COPD is cigarette smoking. In determining this we need to the amount he has smoked as well as how often he has smoked that lead to the chronic bronchitis. What that means is that the airway mainly the bronchi is inflamed. Since it is chronic, which is a specific condition has been occurring for many years. This kind of diagnosis can lead to the coronary artery disease and peripheral arterial vascular disease.

This paper will discuss a case study of Liam, a three-month-old boy who is transferred from the General Practitioner (GP) to paediatric ward with bronchiolitis. Initially, Liam’s chief health issues will be identified, following by nursing assessment and diagnoses of the child’s need. Focus will be made on the management of two major health problems: respiratory distress and dehydration, and summary and evaluation of the interventions with evidence of learning. Lastly, a conclusion of author’s self-evaluation will be present.

Bronchitis usually results from a viral infection, so antibiotics aren’t effective but your doctor may prescribe an antibiotic if he or she suspects that you have a bacterial infection. If there is a chronic lung disorder involved or if you smoke, our doctor may also prescribe antibiotics to reduce your risk of a serious secondary infection. Cough medic ine suppress a cough that brings up mucus because coughing helps remove irritants form your lungs and air passages. Over the counter medicine may help if your cough keeps you from sleeping. If you have COPD, your doctor may recommend an inhaler and other medications to reduce inflammation and open narrowed passages in your lungs. Some side affects of traditional treatment for bronchitis are: shortness of breath, rash, hives, itching, swelling of lips, face, or tounge, and in more severe cases fainting.

Two distinct texts that may seem at odds when superficially compared, hinge on shared foundational values. Course study and personal analysis of Plato’s “Allegory of the Cave” and the Gospel of Matthew’s Sermon on the Mount indicate both appeal against ignorance and warn against egotistic behavior. Both texts take a tactful and thoughtful examination of man’s inability to comfortably, consistently, and effectively look beyond their individual selves as the key figures in a normalized and standardized society. Telling here is Plato scholar Allan Bloom and his belief that: “The modernist historical consciousness has engendered a general skepticism about the truth of all “world views” except for that one of which it is itself a product (Bloom

For this paper, I decided to write about bronchiectasis. Bronchiectasis is a respiratory disease that takes on the appearance of cystic fibrosis. It is caused by the buildup of mucous causing the airways to stretch and widen and are irreversible. (American Lung Association, 2015) I chose to write about bronchiectasis because one of my dear friends has recently been diagnosed with this respiratory disease. Jasmine Coleman was born with a rare blood disorder and as a child she was always in and out of the hospital because she was more susceptible to infections, pneumonia was the main problem. Her condition was so severe that she wasn’t expected to have lived through high school, but she is still with us today. Over time her airways have built up with mucous and she began to cough up large amounts of blood. She had undergone various testing and treatments to try to figure out what was wrong. It was only recently when she was finally diagnosed with bronchiectasis. She has only 22 percent lung function and that is mainly in her left lung for her right lung is filled with blood. She is currently on six liters of oxygen when she is out and about and two liters for when she is resting. (Times Bulletin, 2015) She may be

This book is called "Far-Out Guide To Venus", it was written by Mary Kay Carson. You can tell that the book is non-fiction because it is written based on a real planet. The book contains information about the planet Venus researched by real scientist. The book also includes pictures of Venus taken by space probes (a spacecraft designed to orbit and gather information about objects in our solar system). The author also has evidence to prove that the information they put in the book are true, like pictures of space probes that has traveled Venus, books and sites where they found the information.

The clinical manifestations of pneumonia will be different according to the causative organism and the patient’s underlying conditions and/or comorbidities (Smeltzer, et al). Some of the manifestations are

Pneumonia is an inflammation or infection of the lungs most commonly caused by a bacteria or virus. Pneumonia can also be caused by inhaling vomit or other foreign substances. In all cases, the lungs' air sacs fill with pus , mucous, and other liquids and cannot function properly. This means oxygen cannot reach the blood and the cells of the body.

Pneumonia is an inflammation of the lung which results into an excess of fluid or pus accumulating into the alveoli of the lung. Pneumonia impairs gas exchange which leads to hypoxemia and is acquire by inhaling a contagious organism or an irritating agent. (Ignatavicius & Workman, 2013). Fungal, bacteria and viruses are the most common organisms that can be inhale. Pneumonia could be community-acquired or health care associated. Community –acquired pneumonia (CAP) occurs out of a healthcare facility while health care associated pneumonia (HAP) is acquired in a healthcare facility. HAP are more resistant to antibiotic and patients on ventilators and those receiving kidney dialysis have a higher risk factor. Infants, children and the elderly also have a higher risk of acquiring pneumonia due to their immune system inability to fight the virus. Pneumonia can also be classified as aspiration pneumonia if it arises by inhaling saliva, vomit, food or drink into the lungs. Patients with abnormal gag reflex, dysphagia, brain injury, and are abusing drug or alcohol have a higher risk of aspiration pneumonia (Mayo Clinic, 2013). In the case of patient E.O., this patient had rhonchi in the lower lobe and the upper lobe sound was coarse and diminished. Signs and symptoms of pneumonia include difficulty breathing, chest pain, wheezing, fever, headache, chills, cough, confusion, pain in muscle or

Acute bronchitis is one of the most common diagnoses encountered in a primary care setting. It affects millions of individuals resulting in significant impact on health of patients and health care industry. Studies have shown that 90% of times acute bronchitis is caused by a virus, yet health care providers are failing to treat or manage these patients with appropriate therapies (Knutson & Braun, 2002). The focus of this paper is to review the guidelines for treatment of acute bronchitis after differentiating acute bronchitis from other common respiratory disease in terms of epidemiology, pathophysiology, clinical features, diagnosis, differential diagnosis, complications and patient education. Understanding the evaluation and treatment guidelines, nurse practitioners can provide evidence-based practice for patients with acute bronchitis.

The patient's overall symptoms and lab work suggest that she is suffering from hospital acquired pneumonia. Currently the patient is presenting a moist chesty cough. Additionally, her heart rate is elevated, her oxygenation is low, and her RR is high. She has a raised white blood cell count, which indicates infection. Finally, the patient is acting confused and disoriented, which can be the direct result of a lack of oxygenation to the brain. All of these symptoms point to pneumonia (Torres, 1999).

Mrs. A (pseudonym) is an 83-year-old Samoan female of Christian religion who was admitted to an urban hospital on 02/04/15 by GP referral. She came in with chest pain associated with productive cough and shortness of breath (SOB) on exertion. She also complained of having recurrent episodes of vomiting mixed with saliva and fatigue. She has a history of asthma, hypertension, type 2 diabetes mellitus on Metformin and double incontinence due to a long-standing history of intermittent constipation. Her chest computed tomographic (CT) revealed right lower lobe opacity indicating pulmonary consolidation, which means that her right lower lung has accumulated exudates in the alveoli that would have normally been filled by gas, indicative of bacterial pneumonia. Furthermore, a sputum gram stain sample collected from Mrs. A showed gram-positive bacteria, which is also a characteristic of pneumonia. Her blood tests revealed a high haemoglobin count, which may be caused by an underlying lung disease, as well as high white blood cell count confirming the presence of infection. Considering all diagnostic results, Mrs. A was diagnosed with right lower lobe bacterial pneumonia.