Chronic Bronchitis is a chronic inflammation of the bronchi (medium-size airways) in the lungs. It is generally considered one of the two forms of chronic obstructive pulmonary disease (COPD). It is defined clinically as a persistent cough that produces sputum (phlegm) and mucus, for at least three months in two consecutive years.      

 

   s/sx :

  1. Excessive chronic sputum production
  2.  + Cough
  3.  Dyspnea
  4. Wt. loss

  Nsg. Mgt :   A B C D E F

A - Airway
   Antibiotic
   Adjunct Theray
  1.  muculytic - liquify mucus secretion
  2.  expectorant - removes mucus secretion

B - Breathing exercise like Diagphramatic breathing
     Broncodilators  ( S A X )
       S - symptominetic
       A - aminophyline
       X - xanthiro derivative - theophyline

C - Chest Physiotherapy  - removes mucus secretions
    Corticosteroid (anti-inflammatory) incorporated w/ metered dose inhalers.

D - Drugs as adjunct theray
  1. mucolytic - Carbosistine
  2. expectorant - Gulafenesin
E - expectorant

F - Fluid Intake
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