Details Title: Acute Bronchitis Description: . Total Flash Cards: 33 Created: 09/13/2009 19:36:34		New Users: To study from this flashcard set, or to create your own your own study flash cards, REGISTER HERE. Existing Users: CLICK HERE. Additional Health Care Flashcards
Cards in this set: 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