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Nursing Management for Bronchiolitis : Report

   

Added on  2020-06-03

10 Pages2654 Words180 Views
Nursing /Management forBronchiolitis

TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1Pathophysiology..........................................................................................................................1Assessment ................................................................................................................................2Nursing care................................................................................................................................3Discharge Section........................................................................................................................5CONCLUSION................................................................................................................................6REFERENCES................................................................................................................................7

INTRODUCTIONBronchiolitis is considered as a type of lung infection, mostly to be happen in infants oryoung ones (Walker, Danby and Turner,2012). The report includes the assessment, nursing carealong with the discharge details of a 18 month old boy Travis who was suffering from thedisease,. Some assessments were recorded at the time of admission. Also the pulse and therespiratory rate was higher than the normal rate. He has a family history of asthma as well.PathophysiologyThe pathophysiology of Bronchiolitis starts with an acute infection in the epithelial cellswhich are interlining the smaller airways within the lungs. Respiratory syncytial virus (RSV) isconsidered as the most common and infectious agent in causing bronchiolitis. . These infectionsresults in edema, eventual necrosis, enlarged mucus production and regeneration of the cells.When the presentation of bronchiolitis being done clinically, it includes various symptoms suchas rhinitis, tachypnea, cough, hypoxia, wheezing etc. Travis was also undergoing issues inbreathing. His respiratory rate was 60 but the normal rate ranges from 20-30 for the childrenages from 1- 3 years. He was also having chest pain at regular intervals. He had a bodytemperature of 37.8C which was in normal range. But he had a pulse rate of 152 but the normalrate for children of age 1 – 3 years should have a pulse rate between 80 – 130 beats per minute.This condition is considered as Tachycardia. He was also having chest pain at regular intervalsand this can be a cause of higher pulse rate. The virus that is responsible for bronchiolitis infects all the epithelial cells in the smallairways which leads to inflammation, mucus secretion, oedema etc (McCallum and et.al., 2013).A collection of inflammation and cellular destruction can lead to obstruction of the smallerairways. Its physiological and clinical results involves hyperinflation, wheezing etc. Because ofthese factors, Travis also ahd a runny nose. His oxygen saturation level was 94% which waslower than the normal range, 95-100%. This was also a reason for his higher respiratory rate. Hewas also facing difficulty in breathing. The growth of epithelial cells does not takes place againtill two weeks after the infection. It has a complete recovery of time period of 4 – 8 weeks(Verma, Lodha and Kabra, 2013). 1

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