Bronchitis Short Case Flashcards

1
Q

Acute bronchitis S/S

A
  • Spitting up sputum
  • Going on for a while (10-11 days)
  • Achy
  • HA
  • Fatigue
  • Worse at night - hard time sleeping
  • Relieved w/ taking a shower
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2
Q

Acute bronchitis VS?

A
  • T: slightly elevated
  • HR, RR, BP, SpO2 all NL
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3
Q

What would you find on PE for Respiratory?

A
  • Scattered ronchi that change and sometimes clear when cough
  • No wheezes
  • Focal consolidation w/ crackles
  • No use of accessory m.
  • Coughing frequently
  • Sometimes expectorates (clear, yellow/mucus)
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4
Q

What would you expect to see on labs?

A

CBC and CMP WNL

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5
Q

What are medications that help to thin/breaks up mucus?

A

Expectorants: Guaifenesin (Mucinex)

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6
Q

What medications help to suppress cough?

A

Cough syrup w/ codeine (controlled substance)

Dextromethorphan (Delsym, Robitussin)

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7
Q

What treatments would you recommend for alleviation of symptoms/supportive?

A
  • Bed rest and fluids (tea, honey)
  • Hot showers, humidifier
  • Myalgias: NSAIDs
  • Depending on lung sounds: Albuterol (SABA)
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8
Q

What would you caution regarding decongestants in patients taking BP medications?

A

Decongestants make BP and HR rise - may make BP drugs not work

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9
Q

What medication for bronchitis would be best for a HTN patient?

A

Coricidin

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10
Q

What medications should patients with CHF avoid?

A
  • Meds with pseudoephedrine (Sudafed)
  • Phenylephrine (nasal decongestant)

Coricidin, Robitussin DM, Mucinex are OK to use

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11
Q

Is sputum color a good indicator for viral vs bacterial infection?

A

NO!

yellow, green, tinge of blood (irritation) - all ok

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12
Q

Takeaways

A
  • Bronchitis is most often viral
  • Overprescribe ABX for viral cause
  • Ask preferences of pt and their goals for tx
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13
Q

What medication works by reducing the reflex in the lungs that causes the urge to cough?

A

Benzonatate: Tessalon Pearls (non-sedating)

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