a case presentation on acute bronchitis
TRANSCRIPT
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A CASE PRESENTATION ON
ACUTE BRONCHITIS
Submitted by, Anvy Thankachan Pharmd 2nd year Roll no:6
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A 5 Years old female patient admitted in the hospital with complaints of Breathing difficulty Cough , & Fever
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SUBJECTIVE
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Patient name : Ms. XAge : 5 yrsSex : FWeight: 20 kgDept. : PEADEATRIC
IP NO:L-8955DOA :24/01/15DOD : 29/01/15
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Past medical history: Not known
Past medication history: Not known
History Present illness: cough(with mucus and have croups)& Breathing difficulty & Fever
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OBJECTIVE
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VITAL SIGNS
DATE 24/1/15 25/1/15 26/1/15 27/1/15 28/1/15
TEMP 100.1 F 99.5 F 99 F N N
PULSE 72/mt 72/mt 72/mt 72/mt 72/mt
BP - - - - -
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Investigation Chart DATE
Hb 13.4mg%TC 15800cells/mm
DC P-80%,L-19%,E-1%
ESR 11mm/hrPLATELET 2.8 lakhsCRP 21.57mg/L
24/11/15
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DIAGNOSIS
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Medical history
Physical Examination - Presistent cough
Fever
Blood Test - C-reactive protein
White blood cell count
Sputum culture – Presence of Neutrophil granulocytes
indicate streptococus pnuemonia
Chest X –ray - If you have pneumonia and any other condition
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ASSESSMENT
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ACUTE BRONCHITIS
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Inflammation of the large breathing tubes (airways) called bronchi
Increased production of mucus Type of Bronchitis :
ACUTE BRONCHITIS
CHRONIC BRONCHITIS
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ACUTE BRONCHITIS
Inflammation of the mucous membranes
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AEITOLOGY Infection
Polluted air
Cigarette smoke
Medical problems
Premature birth
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Signs & SymptomsCoughingWheezingShortness of breathRunny noseMalaiseChillsSlight feverBack and muscle painSore throat
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PATHOPHYSIOLOGYHyperemia of the Mucous Membrane
Desquamation,edema, leucocytic infiltration of the submucosa
Production of sticky or mucopurulent exudate
The protective fn. of bronchial cilia,phagocytes,and lymphocytes, are distributed
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Bacteria invade the Bronchi
Accumulation of cellular debris and mucopurulent exudate
Cough,though distressing is essential to eliminate Bronchial seceration
Edema of the bronchial walls Retained secerations
Spasm of Bronchial muscles
Air Way Obstructio
n
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RISK FACTORS
Second Hand
Smoking
Asthma
Airborne pollutants
Winter months
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Complications
Chronic Bronchitis
Pneumonia
Bronchopneumonia
Bronchiecstasis
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PLAN
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Therapeutic GoalTo keep the child breathe easier.Keep the child’s air passages moist and
better, able to get rid of germs.To relieve Cough
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Standard MedicationsBronchodilator : Theophylline
Corticosteroides inhaled : Beclomethasone
Corticosteroides systemic : Prednisolone
Antitussives/ Expectorant : Guaifenesin with
Dextromethorphan
Analgesic/Antipyretics : Ibuprofen, Acetaminophen
Anti viral Agent : Rimantadine
Anti microbial Agent : Erythromycin
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Treatment PlanNo
TRADE NAME DOSE 24/1 25/1 26/1 27/1 28/1
1 EFCORLIN 1oml/2 drops
BD + + + + +
2 INJ.TAXIM Q8 H + + + + +
3 SYP.TUSPELPLUS 100ml/2.5ml
BD + + + + +
4 Nebu.ASTHALIN 5mg/2.5ml
stat& Q6H
+ + + + +
5 SYP.DEZACOR 6mg/ 5ml
BD + + + + +
6 SYP.Dolo 250mg/ 5ml
sos + + + - -
OD
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GENERIC NAMES USES
Hydrocortisone+Naphazoline Unblock nose and reduce swelling in the nasal passage
Cefotaxime Antibiotic
Salbutamol Shortness of breath
Deflazacort Immunosupressants
Ammonium Chloride +Bromhexine+Menthol+Terbutaline
Bringing mucosa out ofthe lungs thus relieving Cough
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DATE
TC 11600%
CRP 3.11mg%
DC P-50%,L-49%,E-1%
27/11/15
PROGRESS CHART
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Discharge medicationNO TRADE NAME FREQUENCY PERIOD OF
TREATMENT
1 SYP.TUSPEL PLUS 100ml/2.5ml
BD 5 DAYS
2 SYP. ZENTEL 5ml/10ml .h.s 2 DAYS
3 SYP.PHEXIN 250mg/5ml .h.s 3DAYS
4 Tab.MONTAIR LC KID 4mg/2.5mg
.h.s 4DAYS
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Pharmacist InterventionLimit exposure to cold, damp environmentsGood handwashingSteam humidifier can help the child feel more
comfortable Keep your home and car smoke-freeKeep away your child from second hand smokingDrink more waterUse a mist humidifier Adequate nutrition
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