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The disease chronic bronchitis is defined in clinical terms as a condition in which a chronic productive cough is present at least three months per year for at least two consecutive years Egans p 140 The definition also includes there is no other known cause for the cough Chronic bronchitis can occur without airflow obstruction However signs and symptoms usually only become significant when there is an obstruction Chronic bronchitis is more prevalent among heavy smokers The most common sign of chronic bronchitis would be the chronic phlegm producing cough Chronic bronchitis patients with airflow obstructions will sometimes exhibit dyspnea on excertion and the patient will likely have decrerased airflow due to bronchiospasms When diagnosing chronic bronchitis test results will show normal lung volumes diffusion capacity and static lung compliance On the other hand a simple arteial blood gas will show a decresaed PAO2 and an increased PaCO2 meaning a decrease in gas exchange The patients chest x-ray would also show dirty lungs with peribronchial cuffing which suggest thickened bronchial walls When treating chronic bronchitis patients with airflow obstruction it is important to determine what is causing the obstruction bronchiospasms mucous plugging or both and provide the best therapy for your patient for this paper I will be teating a patient with retained secretions as well as acute bronchiospasms Bronchodilater therapy would be benificial in treating the patients bronchospasms The patient can be given this therapy at home or in the hospital as needed via MDI or SVN assuming the patient is able follow directions a MDI with spacer would be the best option It is important to monitor heart and respiritory rates blood pressure and breath sounds before during and after treatment to ensure there are no adverse effects To monitor a patients progress using this
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