BRONCHITIS in medical surgical nursing lesson plan

BRONCHITIS in medical surgical nursing lesson plan pdf

1. LESSON PLAN

Name of the subject: MEDICAL SURGICAL NURSING -I
Name of the teacher: JITENDRA BARDE
Name of the topic: Bronchitis
Placement of student: GNM II year
Method of teaching: Lecture cum discussion
Date:
Venue: GNM II ND year Lecture hall
Duration:1 hr
General objectives: At the end of the class student will able to gain in-depth knowledge on Pneumonia & develop
desirable skill & attitude while taking care patient
Specific objectives
At the end of the class the students will be

2.  Introduction of Bronchitis
 Define Bronchitis
 List down the type of Bronchitis
 Enumerate the cause Bronchitis
 Explain the clinical manifestation of Bronchitis
 Explain the pathophysiology Bronchitis
 Identify the diagnostic evaluation of Bronchitis
 To explain in detail about Complication of Bronchitis
 Elaborate the management of Bronchitis

3. S..
No.
Time Specific
Objectives
Content
Method of
Teaching
A.V
Aids
Evaluation




Introduction










Definition






























INTRODUCTION:-
Bronchitis is A Latin word:-
 Bronchia- Bronchial tubes
 -itis - Inflammation
Bronchitis is an inflammation of the air passages. Bronchitis can either be
of short duration (acute) or have a long duration (chronic).

DEFINITION:-
It is an acute or chronic inflammation of mucous membrane of
tracheo-bronchioles resulting to hypersecretion of mucous, swollen
due to viral infection (Myxovirus).
OR
Bronchitis is an inflammation of the lining of bronchial tubes which
cause swelling of the lining. narrowing of tubes and promoting
secretion of inflammatory fluid.
OR
Chronic Bronchitis chronic inflammation of the bronchitis कहलाता है। काफ?
ल?बे समय से िदन के
अिधकांश
समय खाँसी उठना तथा 5सन निलका म? inflammation होना
chronic bronchitis होने क?
संभावना
को ?दिश?त करता है












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What is
Bronchitis














What is the
causative
organisms for
Bronchitis

4. Type of
Pneumonia











































Types of Bronchitis:-
 Acute bronchitis
 Chronic bronchitis
 Acute bronchitis:- Due to any bacterial and viral infection.
 Acute bronchitis have short duration (few days to 10 days)
 It can be cured.
 Chronic bronchitis:- Due to serious lung disease.
 Chronic bronchitis have long duration (at least 3 month a year/ 2 year in a row)
 It can not be cured, but treatment help to manage symptoms.


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What are the
type of
Bronchitis

5. Causes












Symptoms:-































Causes:-
1.
धू
पान (Cigarette smoking)
2. त?
बाकू
का सेवन (Tobacco chewing)
3.
वायु
?
दूषण
(Air pollution)
4. ऊपरी 5सन नाल के
सं
?मण (URTI)
5. तापमान म? प?रवत?न (Changes in temperature)
6. Hypertrophy of the mucous gland
7. बै?टी?रया जैसे- streptococcus pneumoniae, haemophilus influenzae
Symptoms:-
 कफ
यु
खाँसी (Productive
cough)
 अिधक बलगम या कफ

सूजन
(Edema)
 शरीर म? नीलापन (Cyanosis)
 साँस लेने म? परेशानी (Dyspnoea)
 साँस तेज चलना (Tachypnoea)
 साँस भरना (Shortness of
breath)
 साँस लेते समय सीटी जैसी आवाज आना
(Wheezing respiration)
 Cough (Productive)
 Mucous production
 Fever
 Rhonchi and crackles
sound heard on
auscultations
 Prolonged expiration
 Pleuritic chest pain
 Airway obstruction

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What is the
causative
organisms for
Bronchitis













What are the
signs and
symptoms of
Bronchitis

6. Identify the
diagnostic
evaluation o








Explain the
pathophysiolo
gy
















Elaborate the
management
of






Diagnosis:-
 History taking
 Physical examination
 PFT (Pulmonary Function Test)
 Chest x-ray
 Sputum culture
 E.C.G.)
 Arterial blood gases
 Bronchoscopy) Due to any causes

PATHOPHYSIOLOGY :-
DUE TO CAUSE
↓
Inflammation of bronchus
↓
Excess mucous production
↓
Potential smooth muscle constriction
↓
Bronchospasm

MEDICAL MANAGEMENT:-

सं
?मण उपचार
हेतु
antibiotic therapy जैसे- amoxicillin, amikacin, cefotaxime
 bronchodilator) जैसे- theophylline, ipratropium bromide
 Salbutamol के साथ nebulization .
 Antibiotic therapy: If bacterial infection is there, but not necessary in
case of viral infection.
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7.  Short term steroids therapy: Will help minimize inflammation within
bronchial tubes, e.g., Prednisone.
 Good hydration: Plenty of water intake help to make easier to expel.
Symptomatic treatment: -
 For fever: Acetaminophen.
 For cough: Give cough treatment (antitussive drugs).
Nursing Management:-
 Pt को शा?त, आरामदायक तथा well ventilated वातावरण ?दान कर?।
 Pt को आरामदायक ि?थित (फाउलर या सेमी फाउलर) ?दान कर?।
 Airway म? जमा >ाव को हटाने के िलए tracheobronchial suctioning कर?।
 Pt को िनयिमत nebulization ?दान कर?।
 Pt क? ि?थित ??येक 2-4
घंटे
बाद बदलते रह?।
 Pt को coughing तथा deep breathing exercise के बारे म?
बताएं।

 Pt को
धू
पान व
तंबाकू

सेवन
से बचने क? सलाह द?।
 Pt को पया?. तरल पदाथ? ?दान कर?।
Nursing Diagnosis:-
 Ineffective airway clearance related to bronchospasm,
increased production of secretion,
 thick mucus.
 Imbalanced nutrition less than body requirements related to
sputum production, dyspnea and anorexia.
 Deficient knowledge related to disease condition, treatment
and other self-care needs.
 Anxiety related to disease process.




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