Bronchiolitic Summary

On the early morning of August 17, 2002, James C., a patient in one of the wards under the supervision of Ellen Hughes Finnerty, RN, went into respiratory depression. Between 3:00 and 4:00 a.m., Ann Mugi, the patient’s primary nurse, sought the assistance of a respiratory therapist, Hiran Obeyesekere, to help her care for the patient. As Obeyesekere suctioned the patient airway, Mugi called the service of the patient’s primary care physician, Dr. Jackson, to report the changes in the patient’s respiratory status, e.g., respiratory rate of 40 breaths per minute and low urine output.

38. American Journal of Respiratory care and critical care Medicine, Volume 175, issue 7, pages 698 – 704

Bronchiolitis is a lower respiratory infection caused commonly by the respiratory syncytial virus (RSV) in the first two years of life. Nearly every child in the United States will be infected with RSV before its second birthday. The condition is a leading cause of hospital admissions among children under the age of two. The populations most frequently and severely affected by bronchiolitis include; infants less than 12 months of age, children born at a low gestational age (less than 32 weeks), and children with chronic lung disease, congenital heart disease, or immunodeficiency. Standardized and proper diagnosis and management are essential to effective treatment. The guideline established by the Academy of Pediatrics (AAP) in 2014 provides practitioners with recommendations for diagnosis, management, and prevention of bronchiolitis in children.

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

On arrival to the emergency department the patient was in mild to moderate respiratory distress. Physical Examination: BP 80/51, Pulse 144, Respiration 49, and Height 5’10, Weight 93.44kg (206lb) the emergency room physician ordered the following test:

On January, 31st, Patient F.F. arrived to the emergency room in the hospital with her brother due to an increased temperature for ‘the past 3 days,’ fatigue, and was ‘unable to catch [her] breath.’ A focused assessment revealed crackles and wheezes in the lower lobes of the lungs. The patient was leaning over in a tripod position and breathing heavily between words. The patient’s heart sounds were normal with a regular S1 and S2. The patient denied having chest pain and edema was not present. The patient reported having a productive cough with green sputum for the past 3 days. Vital signs were taken and the patient’s oxygen saturation was 88%. The doctor ordered 2 liters of oxygen by nasal cannula for the patient with a continuous

“We have to put an I.V. in your hand. Are you ready?”asked the nurse in the emergency room. This was the first time I had ever gotten an I.V.. I have never been so sick before. I did not know how to feel in the moment, my throat was hurting, my muscles and joints were hurting, and it was hard for me to breathe. This happened to me after I was diagnosed with bronchitis, on the day following my birthday party. Having to be hospitalized for Bronchitis has showed me that it is always best to tell others how you are feeling physically before it becomes detrimental.

This paper aims to explore the etiology, epidemiology, pathophysiology and the treatment of Bronchiectasis. This disease continues to affect various conditions that tend to affect and even cause damage to the lungs. For this paper, we will also present a variety of research studies, which will show statistics of this condition, and how it is being treated to reduce its effects among patients.

Chronic bronchitis is a long-term disease that keeps coming back or never goes away completely, it stay in the patient airway and lungs for at least for 3 months a year, at least 2 years a row. Chronic bronchitis is a obstructive disease that is happens when the lining of the bronchial tubes are irritated that may produces too much mucus. Repeatedly breathing in the things that irritate and damage lung and airway tissues causes chronic bronchitis. Smoking is the main cause of chronic bronchitis and there are some symptom that people are not aware of. “Smoker’s cough” one of the term use to patient who has chronic bronchitis. Blue bloater are one of the symptoms and characteristic of having chronic bronchitis. Chronic bronchitis can lead to

It’s an inflammation of the lining of the tubes and then carries air to and from your lungs. People who been diagnosed with bronchitis have had mucus and some discoloration. Theirs also two different kinds of bronchitis with is acute or chronic. What’s more common is acute. But on the other hand, chronic bronchitis is more of a serious condition. The symptoms it can have are constant irritation or inflammation and it can be mostly due to smoking. When it comes to acute bronchitis it can be caused by bacterial infection and exposure to substances that irritate the lungs. Chronic bronchitis is caused by damage of the lungs and the airway tissue. Smoking is more of the reason and cause of chronic bronchitis, and due to exposure of air pollution

I was only five when it happened but I remember it like today. I had bronchitis but it seemed far worse than normal so my parents took me to the doctors. The doctor gave me a check up and said I should go to the hospital.

Sitting at triage, this particular night was busy but not chaotic when a father and son approached to be assessed; pt had been unwell with his asthma for the day and had been following his asthma plan but was not responding to the treatment dad stated pt has unstable asthma and has one presentation to intensive care unit pt was alert orientated talking in full sentences but had wide spread wheeze bilaterally saturations 98% room air mild work of breathing noted. Started treatment in triage room ventolin (five milligrams bronchodilator that relaxes smooth muscles) and atrovent (five micrograms bronchodilator for bronchospasm) nebulizer given with good effect patient was given a category 3 to be seen in half an hour.

A qualitative study was to assess the physical and psychosocial impact of bronchiectasis. A total of 32 patients had diagnosis of bronchiectasis attended four focus groups. Each focus group was videotaped and subjected to qualitative analysis using the grounded theory approach. Patients demonstrated the potential to self-manage with strategies including self-regulation of medication and airway clearance. Patients suggested that self-management could be promoted through disease-specific information and appropriate healthcare procedures. The conclusion of this study shows that the patients with bronchiectasis have their lives disrupted by this chronic condition, but are receptive to self-management. The present study has given information from

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.

My aim is to discover whether premature babies are more likely to be born with particular chronic diseases. I will also will exploring the relationship between the particular stages of premature birth and bronchopulmonary dysplasia, a chronic lung disease. I am interested in this because my cousin was born premature and also developed a lung disease.