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Nursing process - chronic bronchitis, Biology
Character of onset and duration of cough, sputum production, dyspnea, pain in right upper quarant.
Past illness - Influenza pneumonia, repeated R.T.I., Chronic sinusitis
Past or present exposure to environmental irritants at home or at work
Self-care used to treat symptoms
Medication taken and their effectiveness.
Assess - General appearance
Overweight or bloated
Distended jugular veins/neck veins
Posture, use of accessory muscle for breath, clubbing of fingers, central cynosis and altered sensorium.
Increased tactile fiemitus
On auscultation inspiratory crackles (rales), inspiratory and expiratory bronchi
Assess Lab Findings
ABG for respiratory acidosis and hypoxemia
Hematology; increased Hb and PCV, increased' WBC count
PFT; decreased FEV
Posted Date: 11/2/2012 7:16:14 AM | Location : United States
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