Rhinitis
inflamations of nasal mucus membrane
expensive illness
Most common in midwinter, spring and fall
symtoms
clear,watery nasal discharge,sneezing, cough mild sore throat,headache,malaise,chills and fever
resolves 5 to 7 days
May be acute or chronic based on what
Rhinitis
Allergic rhinitis
releases large amounts of histamines
Allergic rhinitis
caused by an allergic reaction on exposure to allergy like pollens, grasses, dust mite
exacerbations of obstructive lung disease
asthma
sinitus
thick,tenacios mucus obstructs sinus ducts
ottis media
infection of middle ear
cough
treatment of cough is of secondary importance primary treatment aimed at underlying disorder
emphysema
disease of alveolar tissue distrucionwithout fibrosis
signs pursed lips
barrel chest
scanty sputum
chronic bronchitis
refers to chronic productive cough that is present for 3 months in each of 2 successive years, no other identifiable cause
restrictive airway disease
chronic bronchitis and emphysema
chronic airflow limitation disease
cald
antitussive agents
only for non productive coughs
adverse effects:dry mouth drowsiness, constipation
tessalon pearls
codein
robitussin
diphen
hydrocodone
Suppress cough center in brain
mucolytic agent (MUCOMYST)
ADVERSE NAUSEA, VOMITING DUE TO ODOR OF ROTTEN EGSS
Bronchospasms
DISSOLVES CHEMICAL BONDS
FOR CHRONIC EMPHYSEMA,EMPHYSEMA WITH BRONCHITIS, PNEUMONIA
saline solutions
Expectorant,administered by nebulation
commonly given to pediatric patients
moisturize mucus membranes for less irritations or dryness
what are obstructive air way disease
asthma and acute bronchitis
expectorants
make coughs productive
expectorant
used in combination with other agents agents to aid in making a nonproductive cough more productive
expectorants do what
relieve dry nonproductive cough;treat symptoms of common cold,bronchitis, laryngitis,pharyngitis, sinusitis
adverse effects: Gi upset, nausea, vomiting
what is the action of expectorants
enhances output of respiratory tract fluid, decreases mucus viscosity, promotes cillary action
What are YOur expectorants
Guaifensin (robitussin and Mucinex)
patient education for health promotion
well balanced diet, increase fluid intake, eliminate risk factors like smoking and avoid irritants
when you administer inhalants what should you make sure you do
administer bronchodilator first and wait several minutes, give steroid inhalant
rinse mouth after steroid medication
administration of inhalants
review with patient each visit
EXHALE completely before inhaling
Hold breath at least 10 seconds afterward
asthma
maintain normal activity levels, prevent chronic and troublesome symtoms ,prevent exacerbations
use short acting betta2 agonist
copd
goals relieve symptoms, improve exercise tolerance, improve health status
Bronchodilators are conerstone