Term
| Describe the pathophysiology of acute bronchitis |
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Definition
- trigger leads to epithelial injury
- inflammation
- hyperresponsiveness and mucus production |
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Term
| What is the typical cause of acute bronchitis |
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Definition
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Term
What is the typical viral cause of acute bronchitis in persons:
0-1yrs
1-10yrs
10+yrs |
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Definition
1) RSV, parainfluenza, coronavirus
2) parainfluenza, enterovirus, RSV, rhinovirus
3) influenza, RSV, adenovirus |
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Term
| What ist he most likely cause of bronchitis in the fall? winter? |
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Definition
1) parainfluenza, enterovirus, rhinovirus
2) influenza, RSV, coronavirus |
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Term
| What are the major sisx of acute bronchitis |
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Definition
1) cough w/i 2days of infection
2) sputum production (NOT COLOR)
- dyspnea
- wheezing
- chest pain
- fever
- hoarseness
- malaise
- rhonchi
- rales |
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Term
| What are noninfectious triggers of acute bronchitis |
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Definition
- asthma
- air pollutants
- ammonia
- cannabis
- tobacco
- trace metals |
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Term
| What is the single routinely performed study that dx acute bronchitis? |
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Definition
| 1) there is NO routinely performed studies that dx acute bronchitis |
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Term
| Are office spirometry and pulmonary function testing routinely used in dx of acute bronchitis? |
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Definition
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Term
| What are hte major treatment modalities used for acute bronchitis? |
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Definition
1) protussives, antitussives
- bronchodilators
- antibiotics (questionable) |
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Term
| What is a dose of an opiate used to nonspecific antitussive effects? What are the s/e |
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Definition
1) Codeine (Robitussin A-C): 10-20mg q4hrs
2) GI upset, nausea, drowsiness, constipation* |
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Term
| What is the method used to reduce abx use in pts who expect abx therapy |
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Definition
1) build rapport lol
2) provide realistic expectations about clinical course (14d of cough)
3) describe lack of benefit and the inc risk of persistent s/e
4) refer to acute bronchitis as "Chest COLD" because many understand abx are not for colds |
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