30 hours ago A patient diagnosed with acute bronchitis and cough 5 days ago. Calls to report that his cough is persistent since yesterday. He has no other new symptoms. How should the NP manage this patient? Question: A patient diagnosed with acute bronchitis and cough 5 days ago. Calls to report that his cough is persistent since yesterday. >> Go To The Portal
A patient with acute bronchitis and cough for 5 days calls to report that his cough is productive of discolored sputum. He has no other new symptoms. How should the nurse practitioner manage this?
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A patient with acute bronchitis for 5 days calls to report that his cough is productive of purulent sputum. He has no other new symptoms. How should the nurse practitioner manage this?
An adult has upper respiratory symptoms and cough for the past 14 days. What should be considered? Pertussis should always be considered in adults who present with acute cough of greater than 5 days' duration. The incubation period for pertussis is about 7-10 days.
If symptoms are acknowledged on the questionnaire, a chest X-ray may be performed. The questionnaire is used to prevent inappropriate exposure to radiation in patients in whom regular screening is required, like healthcare providers. An uncommon symptom associated with acute bronchitis is:
Since the overwhelming majority of cases of acute bronchitis are secondary to viral causes, antibiotics are not indicated. Mr. Smith has smoked for 45 years. He has a history of hypertension, gout, and benign prostatic hyperplasia. Which of the following medications could be given without risk of worsening any of his disease states?
What are the possible complications of acute bronchitis?a respiratory infection like pneumonia (viral and/or bacterial),chronic bronchitis,asthma, and.sinusitis.
Acute bronchitis treatmentDrink fluids but avoid caffeine and alcohol.Get plenty of rest.Take over-the-counter pain relievers to reduce inflammation, ease pain, and lower your fever. ... Increase the humidity in your home or use a humidifier.
Symptoms of acute bronchitis last less than 3 weeks and can include:Coughing with or without mucus.Soreness in the chest.Feeling tired (fatigue)Mild headache.Mild body aches.Sore throat.
To diagnose bronchitis, your doctor will do a physical exam and ask about your medical history and symptoms. The doctor may also order a blood test to look for signs of infection or a chest X-ray to see if your lungs and bronchial tubes look normal and rule out pneumonia.
Acute bronchitis is usually caused by a viral infection. This is most often the same viruses that cause colds and the flu. It may also be caused by a bacterial infection, or by physical or chemical agents that are breathed in.
About bronchitis Bronchitis is an infection of the main airways of the lungs (bronchi), causing them to become irritated and inflamed. The main symptom is a cough, which may bring up yellow-grey mucus (phlegm). Bronchitis may also cause a sore throat and wheezing.
For either acute bronchitis or chronic bronchitis, signs and symptoms may include:Cough.Production of mucus (sputum), which can be clear, white, yellowish-gray or green in color — rarely, it may be streaked with blood.Fatigue.Shortness of breath.Slight fever and chills.Chest discomfort.
AdvertisementChest X-ray. Your doctor may request a chest X-ray to look for signs of pneumonia.Viral testing. Your doctor may collect a sample of mucus from your child to test for the virus causing bronchiolitis. ... Blood tests. Occasionally, blood tests might be used to check your child's white blood cell count.
Acute bronchitis can be contagious because it is usually caused by infection with a virus or bacteria. Chronic bronchitis is not likely to be contagious because it is a condition usually caused by long-term irritation of airways.
Patients with acute bronchitis present with a productive cough, malaise, difficulty breathing, and wheezing. Usually, their cough is the predominant complaint and the sputum is clear or yellowish, although sometimes it can be purulent.
SORT: KEY RECOMMENDATIONS FOR PRACTICEClinical recommendationEvidence ratingReferencesConsider using dextromethorphan, guaifenesin, or honey to manage acute bronchitis symptoms.B30, 34, 38Avoid using beta2 agonists for the routine treatment of acute bronchitis unless wheezing is present.B353 more rows•Oct 1, 2016
Watchful waiting is encouraged for uncomplicated cases for which reliable follow-up is available. Amoxicillin or amoxicillin/clavulanate is the recommended first-line therapy. Macrolides such as azithromycin are not recommended due to high levels of Streptococcus pneumoniae antibiotic resistance (~40%).
The most important measures are the FEV1 (forced expiratory volume in one second) and FVC (forced vital capacity). Chest radiograph has a poor sensitivity in diagnosing COPD. Only about half of patients with moderately severe COPD can be diagnosed using chest radiography alone.
Vesicular breath sounds consist of a quiet, wispy inspiratory phase followed by a short, almost silent expiratory phase. They are heard over the periphery of the lung fields. Bronchial breath sounds consist of a full inspiratory and expiratory phase with the inspiratory phase usually being louder.
Inhalers typically contain 200 puffs. They should be used two or fewer times per week. His inhaled steroid dose should be increased and his albuterol inhaler should be refilled. In fact, he should not be without a prescription for the albuterol.
Purulent sputum is identified in more than 50% of patients with acute bronchitis. The color imparted to the sputum is usually due to sloughing of epithelial cells, not bacterial infection.
Pharyngitis and nasal discharge/congestion are common on days 1-3. Acute bronchitis is suggested when cough lasts longer than 5 days. Fever is a relatively uncommon symptom of acute bronchitis.
The color imparted to the sputum is usually due to sloughing of epithelial cells, not bacterial infection. Concurrent upper respiratory symptoms are typical of acute bronchitis.
Prolonged close contact is probably needed for transmission to occur. Patients are usually contagious for 10 days or so. Most commonly, these infections occur in younger patients, but all ages may be affected.
A patient with asthma should use his rescue inhaler "minimally", according to the National Asthma Education and Prevention Program: Expert Panel Report 3, Guidelines for the Diagnosis and Management of Asthma from 2007.
A. Cough suppressant with codeine. - Codeine would be contraindicated (or used with extreme caution) because the sedative effect of codeine or any narcotic can potentially worsen respiratory depression and worsen hypercapnia. The most common cause of atypical pneumonia in adults is: A. Streptococcus pneumoniae.
Infection with Mycoplasma may present with a normal white blood cell count, maculopapular rash, GI symptoms, tender joints and aches, and though rare, cardiac rhythm disturbances. Respiratory symptoms may not be pronounced. The most common cause of pneumonia in people of all ages is: A. S. pneumoniae.