Case Presentation on Bronchitis

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Case Presentation on:
BRONCHITIS
IN CHILDREN

Submitted by:
Aleman, Benjiedith S.
Alquizar, Floriza T.
Bation, Aldin T.
Brioso, Carmi C.
Bragas, John Ryan A.
Caguan, Romeo M.
Dumaog, Eugeniana P.
Lodovice, Kristler
Saniel, Charmaine K.

Submitted to:
Mr. Ebenezer L. Bangcong

21 February 2009

I. DESCRIPTION OF BRONCHITIS

IN CHILDREN

Respiratory disorders are among the most common causes of illness and hospitalization in children. Overall, respiratory dysfunction in children tends to be more serious than in adults because the lumens in a child’s respiratory tract are smaller and therefore, are more likely to become obstructed. Moreover, because very young children can panic when breathing becomes labored, a great deal of nursing support should be at hand to care for them. Respiratory disorders range from upper respiratory tract to lower respiratory tract infections. Upper respiratory tract infections include those diseases that affect its structures; while, the lower respiratory tract infections affect the structures of the lower respiratory tract, such as the bronchi, trachea, and alveoli, as shown on the illustration above. One of the diseases that distresses the lower respiratory tract is called bronchitis. Bronchitis, pronounced: brahn-kite-uss, is described as the inflammation of the mucous membrane of the trachea and the major bronchi. Originally named and described by Charles Bedham in 1808[1], it is referred to as the disease of the airways with the presence of cough and sputum production. The slang term “blue bloater” is commonly associated to someone who has bronchitis. Bronchitis may be classified as acute or chronic. To differentiate, below is a cut down description of each type. Acute bronchitis is normally of short duration, from weeks to two months. It has an identifiable, immediate onset and almost always caused by viruses that attack the lining of the bronchial tree and causing the infection. Acute bronchitis is usually reversible or controllable with adequate treatment. Chronic bronchitis, on the other hand, differs in such that it lasts for at least three (3) months in each two (2) consecutive years, or it is associated with frequent bronchial infection. Bronchitis, either acute or chronic, affects toddlers, pre-schoolers and school-aged children. And, it is this disease which the group will be expounding in line with the case presentation.

BACKGROUND OF THE PATIENT

Patient L, whom the group will be referring to all throughout the case presentation, is one of the patients handled by the group. He is three (3) years old and residing at Malaubang, Ozamiz City. Four (4) days prior to admission, patient had fever. His fever was accompanied by coughs and chills. Although the mother noted no watery stools, Patient L had two (2) episodes of vomiting.

On January 29, 2009, Thursday, at about 9:30 in the evening, Patient L was brought to the hospital. His mother took him to MHARS-RTTH to get the latter diagnosed of his underlying condition and to sensibly avail for medical treatment. Subsequently, he was diagnosed with Acute Bronchitis and after three (3) days of hospital stay, the attending physician allowed him to get discharged but with home medication regimen.

II. ASSESSMENT AND DIAGNOSITC
EVALUATIONS

Assessment begins as soon as the child is admitted to the hospital. It is important to establish the history, the onset, duration, and physical condition of the child so that its seriousness can be determined. For scholarly purposes, assessment will not be based solely on the information gathered from the records of Patient L but also from literatures on the peculiar features of bronchitis.

▪ PAST MEDICAL HISTORY

The past medical history entails the health background and hospitalization of the child-patient which may or may not be related to bronchitis. Health professionals may...
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