Study of Illness Condition

STUDY OF ILLNESS CONDITION assessment Subjective cues: “ may ubo ako” as verbalized by the patient. Objective cues: Cough Greenish phlegm Dry skin Laboratory findings: Hematology result differential count-.79 WBC-10.2 Urinalysis: Pus cell-3-4 RBC-0-1 Mucus- few Amorphurotes- few

Organ involved

Normal function

Pathophysiology

Analysis

Respiratory system organsas they function, our cells use oxygen and produce carbon dioxide. The respiratory system brings the needed oxygen into the eliminates carbon dioxide from the body. The blood transports theses gases, carrying oxygen to the tissues and carbon dioxide to the lungs. The trachea is divided into two bronchi, Right primary bronchus-one of the two large respiratory tubes (right and left primary bronchi) that branches from the trachea and enters a lung. Carry the air into the lungs.

Bronchitis is an inflammation of the air passages within the lungs. It occurs when the trachea (windpipe) and the large and small bronchi (airways) with in the lungs become inflamed because of infection or other causes. Bronchitis is one of the disease conditions (together with asthma) that define COPD or chronic obstructive pulmonary disease. There are also known as BLUE BLOATERS since lack of oxygen can cause cyanosis in patients with bronchitis. Etiologic agent: Bacteria and virus Precipitating Factors: Elderly immobilization, unadvisable environment, smoking, malnutrition.

WBC- 10.2 Indicates that the immune system involved defending the body against both infectious disease and foreign materials. The number of WBC’s in the blood in often as indicator of disease

Assessment: Fever, tachypnea,mild dyspnea, plueritic chest pain , cough to clear to

Segmenters- .79

Segmenters (often just segs) are one of the types of neutrophils found in the blood. They would be elevated if the overall white count is up, due to infection. URINALYSIS pus cells- and mucus. it is likely that have an infection. It can easily cured with antibiotics,

purulent sputum. Diffuse ronchi and crakles (contrast with localized crackles usually heard with pneumonia. Diagnostic Evaluation: Chest xray may rule out pneumonia, in bronchitis, films shows no evidence og lung infiltrates or consolidation. Sputum analysis. Therapeutic Management: Chest physiotherapy to mobilize secretion if indicated. Hydration to liquefy secretions. Pharmacologic Interventions: Inhaled bronchodilators to reduce spasm and promote sputum expectoration. A course of oral anti biotic. Symptoms for management for fever and cough.

NURSING CARE PLAN Cues/Nursing diagnosis

Goal and objective Nursing intervention

Subjective cues: “may ubo ako” as verbalized by the patient.

At the end of health teaching client will be able to:

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Objectives cues: Green phlegm Productive Cough with mucoid in content. NDx Ineffective airway clearance related to mucus secretion due to cough.

1. Verbalize understanding of recent condition. 2. Identify its nature and complication.

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3. Utilize and determine treatment to be done. 

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Encouraged to express thought freely Encouraged to increase fluid intake Encouraged of ceasation of smoking gradually Advised to cover with clean handkerchief or cleancloth when expose to pollutants and bronchial irritants. Handwashing and proper disposal of oral secretion adviced. Warming up back with any warm substance or ointment.

Rationale 

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Expressing of thoughts and active listen will determine nature of concerns and problem. To liquefy secretion and prevent dehydration. Smoking can alter drugs ability to treatment. Viruses spread from person to person through droplets by hand contact coughing or sneezing. Regular handwashing is the most important way to prevent virus infection and proper disposal of secretion prevent spreading of viruses. Warming or camphor they helped decrease nasal stuffiness and relieve night time cough during sleeping.

Implementation   

Helped client explore self thoughts and feelings. Provided brief information about the recent condition for easy and increase understanding. Advised to religiously follow doctors adviced and practice preventive measures to promote wellness.

Evaluation    

Client have verbalized recent conditioned freely. Client have identified the nature and complications of cough. Client have utilized / reported to have religiously follow doctors adviced to facilitate easy recovery. Client have determined the treatment would be done for cough.

DRUG STUDY NAME OF THE DRUG: CEFALEXIN BRANDNAME: KEFLEX, PANIXINE, BIOCEF, ZARTAN INDICATION: used to treatment of infections including respiratory infections, ear infections, skin infections and urinary tract infection. MECHANISM OF ACTION: binds with 1 or more penicillin binding proteins which inhibits the final transpeptidation step of peptidoglycan synthesis in bacterial cellwall formation causing it to rupture and killing bacteria( cell death). CONTRAINDICATION: can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to. SIDEEFFECTS: Diarrhea, feeling or being sick, stomach ache, headache, thrush, dizziness. NURSING RESPONSIBILITIES: never take more than the prescribed dose. Advised patient to report the adverse effect to the nurse and the doctor on duty. Informed patient that drugs can be given with or with out food.

BRAND NAME: Mucosolvan GENERIC NAME: Ambroxol MECHANISM OF ACTION: When administered orally onset of action occurs after 30 minutes. The breakdown of acid mucopolysaccharide fibers makes the sputum less thinner and less viscous and therefore more easily removed by coughing. Although sputum volume will eventually decreases, its viscosity remains low for as long as treatment is maintained. INDICATION: all forms of tracheobronchitis, emphysema with bronchitis,pnuemoconosis, chronic inflammatory conditions, bronchiecstasis, with broncho spasm asthma. During acute exarcebation of bronchitis it should be given with appropriate antibiotics. CONTRAINDICATION: there are no absolute contraindications but in patients with gastric ulceration relative cation should be obsevered. ADVERSE REACTION: occasional gastrointestinal sideeffects may occur but these are normally mild. NURSING RESPONSIBILITIES: Observe respiratory rate and obtain baseline data. Check drug interactions if taking other medication.