Bronchitis Nursing Diagnosis and Nursing Care Plan: Acute viral inflammation of the lower respiratory tract that affects the bronchioles and alveoli is known as bronchiolitis. The smaller airways get blocked as a result of cellular debris, exudate, accumulated thick mucus, and mucosal edema brought on by inflammation (bronchioles). Reduced expiration, air entrapment, and hyperinflation of the alveoli are the results of this. As a result of the obstruction’s interference with gas exchange, there may be hypoxemia and hypercapnia in extreme instances, which may result in respiratory acidosis. Hospitalization is required for children with this problem and other severe illnesses who are in a weakened state.
Types of Bronchitis
There are two types of bronchitis, and these are the following:
Acute bronchitis: A more prevalent variety of bronchitis where symptoms often last for many weeks but do not persist or worsen after that time.
Chronic bronchitis: Thought to be a dangerous, persistent ailment that may recur or manifest later.
Signs and Symptoms of Bronchitis
- Having trouble breathing
- chest discomfort
- persistent dry cough with possible white, green, or yellow mucus appearance
Meanwhile, the following are some signs of acute bronchitis:
- Fever and sore throat
- Chills
- Body pain
- Exhaustion
- Congestion
Causes of Bronchitis
Bronchitis is frequently the outcome of infections with the common viruses that cause the flu and colds. In addition to infectious agents, bacteria can also result in the development of this condition. In order to combat the virus, the body’s immune system therefore creates mucus, which may clog the bronchioles, making breathing and respiration harder.
Chronic bronchitis has several frequent causes, including
- Long-term smoking, or being around others who are smoking
- Environmental air pollution, as well as other waste, dust, and chemical emissions
Potential Dangers of Bronchitis
- The main contributing factor to chronic bronchitis is smoking. Acute and chronic bronchitis are more likely to occur when smoking is unchecked and persistent.
- Those who experience asthma or other allergies
- Immunocompromised or having a weakened immune system – immunocompromised patients, children, and elderly people who are susceptible to colds are more likely to get bronchitis.
- A history of pulmonary illness in the family
Complications
Bronchitis patients are more prone to experience the following issues:
- When coughing there is blood or tenacious mucus
- I can’t sleep because I keep coughing too much
- Chest pain
- Abnormal breathing noise that frequently sounds like a dog barking
- Loss of weight
Diagnosis
Having the signs and symptoms verified by a physical examination is an important diagnostic procedure. The attending physician could inquire about whether the patient has a cough, a fever, a cold, and potentially mucus when they expectorate. The attending physician may further request the following tests:
- When doing an auscultation, the presence of an irregular breathing sound may be a sign of bronchitis.
- To rule out other lung illnesses or disorders, such as pneumonia, a chest X-ray is performed.
- A blood test
- Snot swab
- Examining the oxygen levels
Bronchitis Treatment
The symptoms of acute bronchitis normally go away on their own or within a few weeks. However, if bacteria may be the reason (which is unusual), the attending doctor might advise the patient to take antibiotics. The attending physician may suggest using an inhaler to help promote optimal aeration by opening the airways if the patient has asthma or allergies. Here are some other strategies for treating acute bronchitis symptoms:
- Getting lots of sleep
- Drinking water
- Using a humidifier to break up mucus
- Using over-the-counter cough medications for treatment
Prevention for Bronchitis
Smoking should be avoided since it increases the chance of contracting or developing bronchitis. Additional suggestions include:
- Current vaccinations against the flu and pertussis
- Always wash your hands after using the restroom.
- Using a face mask in places with irritating or polluted air
Bronchitis Nursing Diagnosis and Nursing Care Plan
#1 Nursing Care Plan Bronchitis – Ineffective Airway Clearance
Nursing Diagnosis
- Ineffective Airway Clearance
May be related to
- Blockage, secretions, and infection of the trachea
Possibly evidenced by
- Reduced or nonexistent breath sounds
- Wheezes, rhonchis, and crackles
- Recurrent, unproductive, and severe hacking cough
- Alteration in the pace and depth of breathing
- Modest respiratory excursion and dyspnea
- Hyperresonance
- More mucus production and nasal discharge
- Tachypnea
- Fever
Desired Outcomes
- Child will cough forcefully and make clear breath sounds; cyanosis and dyspnea are absent.
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Bronchitis Nursing Diagnosis and Nursing Care Plan
#2 Nursing Care Plan Bronchitis – Ineffective Breathing Pattern
Nursing Diagnosis
- Ineffective Breathing Pattern
May be related to
- Increased breathing effort
- Process of inflammation
- Blockage of the trachea
Possibly evidenced by
- Cough
- Nasal flare-ups
- Dyspnea
- Tachypnea
- Shallow breathing excursion
- Subcostal and suprasternal retractions
- Abnormal arterial blood gases (ABGs)
Desired Outcomes
- As seen by calm breathing at a typical rate and depth and the lack of dyspnea, the child will maintain an efficient breathing pattern.
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Bronchitis Nursing Diagnosis and Nursing Care Plan
#3 Nursing Care Plan Bronchitis – Anxiety
Nursing Diagnosis
- Anxiety
May be related to
- Infant or young child’s health status has changed.
- Hospitalization of a young kid or newborn, either imminent or real
Possibly evidenced by
- Increased concern that the illness may get worse
- Expressed their anxiety and trepidation about going to the hospital.
- Need for medical care, including IV treatments and mist tents, while hospitalized.
Desired Outcomes
- Child will look calmer and suffer less anxiousness.
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Bronchitis Nursing Diagnosis and Nursing Care Plan
#4 Nursing Care Plan Bronchitis – Fatigue
Nursing Diagnosis
- Fatigue
May be related to
- Respiratory effort
Possibly evidenced by
- Listlessness or sluggishness
- Irritation or emotional instability
- Worn-out look
- A lack of appetite and limpness
Desired Outcomes
- The infant or kid can eat, drink, and play calmly.
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Bronchitis Nursing Diagnosis and Nursing Care Plan
#5 Nursing Care Plan Bronchitis – Deficient Knowledge
Nursing Diagnosis
- Deficient Knowledge
May be related to
- A scarcity of knowledge on the respiratory syncytial virus
Possibly evidenced by
- Parents express their ignorance about the RSV
Desired Outcomes
- Parents will express verbally their comprehension of the illness, its causes, and its treatments.
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