*NURSING > STUDY GUIDE > VISE 25 DX.Chamberlain College of Nursing NR 661 (All)

VISE 25 DX.Chamberlain College of Nursing NR 661

Document Content and Description Below

Know presentation, DX and Management Diagnoses List 1. Acute bronchitisDESCRIPTION Acute cough due to inflammation of the bronchioles, bronchi, and trachea; usually follows an upper respiratory in... fection or exposure to a chemical irritant. ETIOLOGY  Adenovirus  Rhinovirus  Influenza A and B  Parainfluenza RISK FACTORS  Upper respiratory infection  Air pollutants  Smoking and/or secondary exposure  Reflux esophagitis  Allergy  Chronic obstructive pulmonary disease  Acute and chronic sinusitis  Infants  Older adults  Immunosuppression ASSESSMENT FINDINGS  Cough: dry and nonproductive, then productive; may be purulent  URI symptoms  Fatigue  Fever due to bacterial infection; more common in smokers and patients with COPD  Fever due to viral cause (unusual after first few days)  Burning sensation in chest  Crackles, wheezes  Chest wall pain DIFFERENTIAL DIAGNOSIS  Pneumonia  Tuberculosis  Asthma DIAGNOSTIC STUDIES  Decision criteria for chest radiographs: tachypnea, hypoxia, fever, abnormal lung exam  Only consider chest X-ray if high index of suspicion for pneumonia or superimposed heart failure  Consider PPD: expect negative results  PREVENTION  Smoking cessation  Avoid known respiratory irritants  Treat underlying conditions that contribute to risk (asthma, gastroesophageal reflux disease, etc.)  Influenza immunization for high-risk populations [Show More]

Last updated: 2 years ago

Preview 1 out of 192 pages

Buy Now

Instant download

We Accept: