Therapeutic Management of Acute Bronchitis in a 70-Year-Old Male
A 70-year-old male presents with acute bronchitis characterized by cough with yellow expectoration and breathlessness. Laboratory results show elevated WBC count, ESR, and abnormal renal function test values. The therapeutic regimen includes medications to reduce breathlessness, alleviate cough, and treat bronchitis. The goals of therapy are to relieve symptoms and improve the patient's condition. Follow-up assessments are crucial to monitor response to treatment and adjust therapy as needed.
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Presentation Transcript
Therapeutics minor case presentation presented to : Inamdar sir presented by :Manoj Acute bronchitis
Demographic details : Girijjanmallappa Sajjan 70 y male Bijapur I.p 314504/2012 c/o breathlessness & breathlessness since a week Present illness : apparently well since 25 days back , insidious cough with yellow expectoration . No blood/foul smell . Ronchi present . Rest all systems normal . SOAP NOTE Subjective data : cough since 7 day with expectoration & breathlessness . Objective data :RBC, URINALYASIS,ECG Date 7.12 8.12 9.12 10.12 11.12 12.12 13.12 14.12 b.P 110/70 116/78 120/80 136/84 140/87 140/80 130/82 126/80 pulse 70 78 72 74 80 78 72 72
Complete blood test Factor values RBC 4.7 WBC 14600 Polymorphs 73 Platelet count 3.1 ESR 70 Hb 11.4 Lymphocytes 15% Basophiles 2 Esnophylls 1 Monocytes 1 Packed cell volume 42.0
RENAL FUNCTION TEST FACTOR VALUES UREA (bun) 37mg% Sr. Creatinine 1.5 Uric Acid 5mg Diagnosis : Acute bronchitis . Assessment Problem list : breathlessness due to inflammation of bronchioles , airway narrowing might have taken place , thus dyspnoea . Cough with expectoration : common in all respiratory impairments : it s a reflux to expel any foreign body in the respiratory tract . Acute bronchitis : is inflammation of bronchi . Goals of therapy : 1. To decrease the incidence o breathlessness 2. To decrease the cough 3. To treat bronchitis .
Therapeutic regimen Inj taxim 1gm iv Inj deryphylline Duolin nebulization Tab calpol 500 mg Inj rablet 20 mg Budecort nebulization Tus Q Syrup Ceftriaxone 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1 1-1-1-1 Paracetmol 1-0-1 1-0-1 1-0-1 1-0-1 1-0-1 1-0-1 1-0-1 Rabeprazole 1-0-0 1-0-0 1-0-0 1-0-0 1-0-0 1-0-0 1-0-0 1-1-1-1 1-1-1-1 1-1-1-1 1-1-1-1 1-1-1-1 1-1-1-1 Terbutalyn sulphate + bromohehene + guinphensen 0-0-1 0-0-1 0-0-1 0-0-1 0-0-1 0-0-1 0-0-1
