ACUTE BRONCHITIS CLINICAL PATHWAY CLINICAL DIAGNOSIS Cough for 1 week or more, productive of purulent sputum may suggest acute bronchitis Fever, chills, dyspnea easy fatigability and hoarseness may or may not be present HOSPITAL ADMISSION
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Presentation Transcript
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ACUTE BRONCHITIS CLINICAL PATHWAY<br>
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CLINICAL DIAGNOSIS Cough for 1 week or more, productive of purulent sputum may suggest acute bronchitis
Fever, chills, dyspnea easy fatigability and hoarseness may or may not be present<br>
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HOSPITAL ADMISSION Confinement is not usually needed<br>
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DIAGNOSTIC EXAMINATION No routine laboratory tests are needed for uncomplicated acute bronchitis.
Chest xray may be done to rule out other causes<br>
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Cough >1 week with purulent sputum
± fever, chest discomfort, dyspnea & hoarseness
± crackles/ronchi/wheezes Chest x-ray ABNORMAL
Other diagnosis NORMAL
Treat as Bronchitis Treatment options for Bronchitis
(Alone or in combination) ANTITUSSIVES BRONCHODILATORS
(if bronchospastic)
(e.g. β2 agonist) ANTI-INFLAMMATORY
(if with persistent cough)
(e.g. oral or inhaled corticosteroids) MUCOLYTIC
(e.g. Erdostein, Carbocisteine) ANTIBIOTICS
(e.g. Macrolides) Do repeat CXR after 5-7 days of treatment especially if with fever, chest pain and pleurisy If with no improvement ACUTE BRONCHITIS CLINICAL PATHWAY<br>
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Cough >1 week with purulent sputum
± fever, chest discomfort, dyspnea & hoarseness
± crackles/rhonchi/wheezes Chest x-ray ABNORMAL
Other diagnosis NORMAL
Treat as Bronchitis<br>
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Treatment options for Bronchitis
(Alone or in combination) ANTITUSSIVES BRONCHODILATORS
(if bronchospastic)
(e.g. β2 agonist) ANTI-INFLAMMATORY
(if with persistent cough)
(e.g. oral or inhaled corticosteroids) MUCOLYTIC
(e.g. Erdostein, Carbocisteine) ANTIBIOTICS
(e.g. Macrolides) Do repeat CXR after 5-7 days of treatment especially if with fever, chest pain and pleurisy If with no improvement<br>
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MONITORING RESPONSE TO THERAPY Prognosis is good and special monitoring or referral for specialty care is not required<br>
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REFERENCES Philhealth HTA Committee, Proceedings Workshop on the Critical Appraisal of Clinical Practice Guidelines and Development of Policy Statements. Sept 19-21, 2005
