NR 661 VISE Exam Questions & Answers Already Graded A+

acute bronchitis - diagnostics - Decision criteria for Chest x-ray: hypoxia, tachypnea, fever, abnormal lung exam, or at high risk for pneumonia or superimposed heart failure Consider PPD but expect neg results Flu swab Consider CBC, viral panel, influenza titer Test for pertussis if local outbreak or known exposure acute bronchitis - differentials - · Pneumonia · TB · Asthma · Pertussis · Influenza · Sinusitis acute bronchitis - etiology - acute cough due to inflammation of the bronchioles, bronchi, and trachea which usually follows an URI or exposure to chemical irritant · Adenovirus, rhinovirus, flu A/N, parainfluenza, RSV, coxsackie virus, other viral agents · Secondary bacterial infection from strep pneumoniae, haemophilus influenzae, Moraxella catarrhalis, chlamydia pneumoniae, Bordetella pertussis, and other bacteria · Inhaled chemical irritant · Fungal infection acute bronchitis - f/u, referral, complications - Follow up 1 week if condition worsens or not improved High risk groups (those with co-existing conditions) require quicker follow up ReferralNone now pulmonologist if not improved in 4 weeks. Complications: · chronic cough · secondary infection acute bronchitis - nonpharmacological - increase fluid intake, use humidifier, rest, Smoking cessation acute bronchitis - pharmacological - Antibiotics not recommended Cough suppressants - nighttime Antivirals if flu is diagnosed IF bacterial, Z-Pack 500mg day one and 250 mg for 4 days (positive Pneumonia) Tessalon pearls 200mg TID PRN Albuterol inhaler 2 inhalations every 4-6 hours as needed, if wheezing or prior history of asthma Decongestants and antihistamines are not effective