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Acute Bronchitis
.
33
Health Care
Graduate
09/13/2009

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Cards

Term
Acute bronchitis is usually viral or bacterial?
Definition
viral
Term
which bacteria is responsable for whooping cough?
Definition
Bordetella pertussis
Term
one rare etiology for acute bronchitis is:
Definition
fungi
Term
name 5 noninfectious triggers for acute bronchitis:
Definition
1. asthma
2. air pollutants
3. tobacco
4. cannabis
5. ammonia
Term
describe the pathophysiology for acute bronchitis:
Definition
some irritant (infectious or otherwise) causes inflammation within the bronchi leading to airway hyperresponsiveness and excess mucus production resulting in an obstructed airway.
Term
related to the pathophysiology for acute bronchitis, what sloughs in the airway durring inflammation?
Definition
ciliated epithelium
Term
RSV stands for:
Definition
respiritory syncytial virus
Term
3 most common etiologies for acute bronchitis in patients less than 1 year of age:
Definition
1. RSV
2. parainfluenza
3. coronavirus
Term
2 most common viruses of acute bronchitis for the fall:
Definition
parainfluenza and rhinovirus
Term
3 most common viruses for acute bronchitis in winter and spring:
Definition
influenza, RSV, coronavirus
Term
3 most common viruses for acute bronchitis in patients btwn 1-10:
Definition
1. parainfluenza
2. RSV
3. adenovirus
Term
up to __ % of acute bronchitis may be due to "atypical" bacteria:
Definition
10%
Term
3 "atypical" bacteria for acute bronchitis:
Definition
1. Bordetella pertussis
2. Chlamydophila pneumonea
3. Mycoplasm pneumoniae
Term
what type of chest sounds are assoc w acute bronchitis:
Definition
rhonchi & rales
Term
how long can a cough last with acute bronchitis
Definition
begins within 2 days and may last from 2-8wks
Term
presentation of acute bronchitis:
Definition
patient presents with productive cough, sob, wheezing,substernal chest pain, fever, malaise, prolonged expiration,
Term
Differential diagnosis for pneumonia
Definition
percusion sounds; acute bronchitis = no evidence of consolidation
Term
4 differential Dx:
Definition
1. pneumonia
2. chronic bronchitis
3. post nasal drip syndrome
4. asthma
Term
define chronic bronchitis:
Definition
cough and sputum production on most days of the month for at least 3 months of the year during 2 consecutive years
Term
4 diagnostic studies for acute bronchitis:
Definition
1. chest radiograph
2. spirometry
3. PFT
4. Pulse Ox
Term
3 Tx for acute bronchitis:
Definition
1. NSAIDs
2. Protussives
3. Antitussives
Term
When are antitussives indicated?
Definition
used if there is significant discomfort
use is based on cause of cough
Term
what do protussives do?
Definition
makes cough more productive, clear airways
Term
when are beta agonists such as albuterol affective with acute bronchitis?
Definition
ONLY when airflow obstruction is present.
Term
Which patients would you Tx w anitbiotics for acute bronchitis?
Definition
Pt with pre-existing comorbitities,
>65 with 2 indicators & >80 with 1 indicator
Term
Which patients would you Tx w anitbiotics for acute bronchitis?
Definition
Pt with pre-existing comorbitities,
>65 with 2 indicators & >80 with 1 indicator
Term
what are the 4 indicators for antibiotic use for acute bronchitis?
Definition
1. hospital admission in the last year
2. Diabetes
3. Hx of CHF
4. Current use of glucocosteroids
Term
which class of anitbiotic is used for B. pertussis?
Definition
Macrolide
Term
Name 3 macrolide antobiotics:
Definition
1. erythromycin
2. clarithromycin
3. azithromycin
Term
what is the Tx for FluA within 48hrs?
Definition
Neuramidase inhibitors; tamiflu
Term
If consolidation is present upon percution consider:
Definition
pneumonia
Term
3 key symptoms for acute bronchitis:
Definition
cough, substernal chest pain, fever
Term
simple Tx for acute bronchitis:
Definition
Tussive Rx, rest fluids
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