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Acute bronchitis - 🧠 ANSWER ✔✔acute, self limited inflammation of the
trachea and major bronchi
acute onset of persistent cough with or without sputum production
cough lasting 1-3 weeks
cough lasting 1-3 weeks with bronchial consolidation - 🧠 ANSWER
✔✔pneumonia
s/s acute bronchitis - 🧠 ANSWER ✔✔acute cough with or without phlegm,
dyspnea, wheezing
dry non productive cough progressing to productive cough as illness
evokes
sputum may be clear at onset progressing to mucoid
,prodromal symptoms: rhinorrhea, sore throat, malaise, low grade fever
tachycardia
risk factors acute bronchitis - 🧠 ANSWER ✔✔URI, COPD, air pollutants,
smoking, GERD< allergies, sinusitis, infants, elderly, immunocompromised
indication for chest radiography in patient with acute bronchitis - 🧠
ANSWER ✔✔dyspnea, blood sputum, rusty sputum
pulse over 100 bom
RR over 24
temp over 100F
focal consolidation, egophony, fremitus
fever, tachypnea, dyspnea, rales, dull percussion, mental status change - 🧠
ANSWER ✔✔pneumonia
pharm management of acute bronchitis - 🧠 ANSWER ✔✔cough
suppressants
- dextromethorphan/ guaifenesin 10 mL q4h
- delsym 10ml BID
, antitussive
- benzaonate/ tessalon 100-200 TID PRN
expectorant
- guaifenesin 200-400mg PO q4H PRN
acetaminophen 650 q4
bronchodilator w asthma hx
antibiotics with pertussis
acute bronchitis with underlying sinusitis or allergy - 🧠 ANSWER ✔✔1st
generation antihistamine
diphenhydramine 25-50 mg PO q4-6h
first line tx for pertussis - 🧠 ANSWER ✔✔macrolide
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