Acute Bronchitis

definition :

Acute inflammation of the bronchial mucosa expressed clinically by coughing up mucous or muco – purulent .
etiology :
– Factors Infections – viruses, bacteria
– Physical and climatic factors – moisture , air currents , cold
– Allergens – smoke, dust , mold
– Chemical factors – chemicals irritate the respiratory mucosa
Clinical picture :
1. period of onset ( cruel ) – inflammation of the upper airway mucosa (CAS )
– Grade fever
– Chills , headache
– asthenia
– Myalgia , chest pain
– sneezing
– runny nose
– Impairment of trachea translates clinically by a feeling of heartburn and cough
– Coughing is triggered at low effort , even in speech
2 . During the state ( of Cocteau )
– Coughing up mucous or muco – purulent
– Fever, chills , headache – disappear
– Clinical ex – romflante rales and wheezing on pulmonary auscultation
The disease lasts 7-10 days.
Laboratory picture :
– Increase in blood markers of acute inflammation – ESR, fibrinogen, leukocytosis with neutrophilia
– Ex sputum – mixed microbial flora
– Eg chest X-ray – normal
Treatment:
1. hygienic-dietary – bed rest , well ventilated room with ambient temperature – 19 – 21gr , atmosphere dampness , diet rich in liquids and vitamins – vitamin C !
2 . medicine
– Antipyretics – Paracetamol , Novocalmin , Algocalmin , Aspirin
– Analgesics – Ketonal
– Cough – in the raw – codeine phosphate ( Coden ) , dextromethorphan ( Rofedex , Tussin ) Fenspiridum ( Eurespal ) Stod
– Expectorants and thinners of expectoration – Ambroxol ( Mucosin , Flavamed ) Erdomed , Bromhexin , Prospan , Acetylcysteine ​​(ACC ) , Carbocisteine ​​( Fluidol , Humex , Rhinatiol )
– Antiboticele when overall use remains influenced muco – purulent expectoration in nature or pus , fever persists
Ampicillin , Amoxicillin, Augmentin ,
cephalosporins – Ceclor , ceclodyne , Cedax
quinolones – ciprofloxacin , moxifloxacin ( Avelox )
sulfonamides – Biseptol
– If there is a spastic component expressed clinically by dyspnea administered bronchodilators :
1 . methylxanthines – Aminophylline ( Miofilin ) Theophylline ( Teotard )
2 . beta2 sympathomimetics – salbutamol, salmeterol
3 . corticosteroids – prednisone , dexamethasone
– If arterial oxygen pressure falls below 55mmHg establish oxygen

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