Nursing Care Plan (NCP) for Acute Bronchitis
Included In This Lesson
Study Tools For Nursing Care Plan (NCP) for Acute Bronchitis
Outline
Lesson Objective for Nursing Care Plan (NCP) for Acute Bronchitis
To equip nursing professionals with the skills and knowledge to effectively manage and care for patients with acute bronchitis, focusing on understanding the condition, identifying symptoms, and implementing appropriate interventions to manage respiratory symptoms, prevent complications, and promote patient comfort.
Pathophysiology for Acute Bronchitis
Acute bronchitis is an inflammation of the bronchial tubes, the air passages between the nose and the lungs. It is typically caused by a viral infection and is characterized by coughing, mucus production, and associated respiratory symptoms. The inflammation results in reduced airflow and increased mucus production, leading to cough and difficulty breathing.
Etiology for Acute Bronchitis
Acute bronchitis is most commonly caused by viral infections, similar to those that cause the common cold or flu. Other factors may include:
- Bacterial Infections
- Environmental Factors:
- Such as air pollution and tobacco smoke.
- Preexisting Lung Diseases:
- Like asthma or chronic obstructive pulmonary disease (COPD).
Desired Outcomes for Acute Bronchitis
- Relief from cough and improvement in breathing.
- Prevention of respiratory complications such as pneumonia.
- Maintenance of adequate hydration and nutrition.
- Patient understanding of disease management and preventive measures.
Nursing Care Plan (NCP) for Acute Bronchitis
Subjective Data:
- Persistent cough, which may produce mucus.
- Shortness of breath, especially with physical activity.
- Fatigue and general malaise.
- Mild chest discomfort or soreness due to coughing.
Objective Data:
- Auscultation of the lungs may reveal wheezing or rhonchi.
- Possible low-grade fever.
- Tachypnea (rapid breathing) in severe cases.
- Use of accessory muscles for breathing in severe bronchitis.
Nursing Assessment for Acute Bronchitis
- Respiratory Assessment:
- Monitor breathing patterns, auscultate lung sounds, and assess cough frequency and character.
- Vital Signs Monitoring:
- Regularly check temperature, pulse, and respiratory rate.
- Hydration and Nutritional Status:
- Monitor fluid intake and ensure adequate nutrition.
- Oxygen Saturation:
- Use pulse oximetry to monitor oxygen levels in more severe cases.
Nursing Diagnosis for Acute Bronchitis
- Ineffective Airway Clearance related to increased mucus production and cough.
- Impaired Gas Exchange related to inflammation and obstruction of the bronchial tubes.
- Activity Intolerance related to respiratory distress.
- Risk for Fluid Volume Deficit related to fever and increased respiratory rate.
Nursing Interventions and Rationales for Acute Bronchitis
Promote Airway Clearance: Encourage deep breathing, use of incentive spirometry, and effective coughing techniques.
- Rationale: These techniques help mobilize secretions and improve airway clearance.
Hydration: Encourage increased fluid intake to thin bronchial secretions.
- Rationale: Adequate hydration helps to thin mucus, making it easier to expel.
Administer Medications: Provide bronchodilators, expectorants, or antipyretics as prescribed.
- Rationale: Medications can help reduce inflammation, ease breathing, and manage fever.
Monitor for Complications: Observe for signs of secondary bacterial infection or progression to pneumonia.
- Rationale: Early detection of complications allows for timely intervention.
Patient Education: Educate the patient about avoiding irritants, proper medication use, and when to seek medical attention.
- Rationale: Knowledge empowers patients to manage their condition and prevent exacerbation.
Nursing Evaluation for Acute Bronchitis
- Respiratory Status:
- Assess for improved breathing and effective coughing.
- Symptom Relief:
- Evaluate the reduction in cough frequency and severity.
- Hydration and Nutrition:
- Monitor intake and output to ensure adequate hydration and nutrition.
- Patient Understanding:
- Assess the patient’s understanding of management strategies and preventive measures.
Further Reading and Verification:
- [NURSING.com – Acute Bronchitis](https://www.nursing.com)
- [Mayo Clinic – Acute Bronchitis](https://www.mayoclinic.org/diseases-conditions/bronchitis/symptoms-causes/syc-20355566)
- [NIH.gov – Acute Bronchitis](https://www.nhlbi.nih.gov/health-topics/bronchitis)
This care plan is designed to provide effective management for patients with acute bronchitis, focusing on maintaining airway clearance, managing symptoms, ensuring adequate hydration and nutrition, and educating the patient on disease management and preventive strategies. Tailoring interventions based on individual patient needs is crucial for effective recovery and comfort.
Example Nursing Diagnosis For Nursing Care Plan (NCP) for Acute Bronchitis
- Ineffective Airway Clearance related to increased mucus production and cough.
- Impaired Gas Exchange related to inflammation and obstruction of the bronchial tubes.
- Activity Intolerance related to respiratory distress.
- Risk for Fluid Volume Deficit related to fever and increased respiratory rate.
Tiona RN
Concepts Covered:
- Studying
- Medication Administration
- Adult
- Emergency Care of the Cardiac Patient
- Intraoperative Nursing
- Microbiology
- Cardiac Disorders
- Vascular Disorders
- Nervous System
- Upper GI Disorders
- Central Nervous System Disorders – Brain
- Immunological Disorders
- Fundamentals of Emergency Nursing
- Dosage Calculations
- Understanding Society
- Circulatory System
- Concepts of Pharmacology
- Hematologic Disorders
- Newborn Care
- Adulthood Growth and Development
- Disorders of Pancreas
- Postoperative Nursing
- Pregnancy Risks
- Neurological
- Postpartum Complications
- Noninfectious Respiratory Disorder
- Peripheral Nervous System Disorders
- Learning Pharmacology
- Prenatal Concepts
- Tissues and Glands
- Developmental Considerations
- Factors Influencing Community Health
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Developmental Theories
- Basic
- Neonatal
- Pediatric
- Gastrointestinal
- Newborn Complications
- Labor Complications
- Fetal Development
- Terminology
- Labor and Delivery
- Postpartum Care
- Communication
- Basics of Mathematics
- Statistics
- Basics of Sociology
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of the Thyroid & Parathyroid Glands
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Respiratory
- Delegation
- Perioperative Nursing Roles
- Acute & Chronic Renal Disorders
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Oncology Disorders
- Female Reproductive Disorders
- Musculoskeletal Trauma
- Renal Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Integumentary Disorders
- Emergency Care of the Trauma Patient
- Urinary Disorders
- Musculoskeletal Disorders
- EENT Disorders
- Neurological Emergencies
- Disorders of Thermoregulation
- Neurological Trauma
- Basics of NCLEX
- Integumentary Important Points
- Multisystem
- Test Taking Strategies
- Urinary System
- Emergency Care of the Neurological Patient
- Central Nervous System Disorders – Spinal Cord
- Respiratory System
- Emergency Care of the Respiratory Patient
- Cognitive Disorders
- Anxiety Disorders
- Depressive Disorders
- Trauma-Stress Disorders
- Substance Abuse Disorders
- Bipolar Disorders
- Psychotic Disorders
- Concepts of Mental Health
- Eating Disorders
- Personality Disorders
- Health & Stress
- Psychological Emergencies
- Somatoform Disorders
- Prioritization
- Community Health Overview
- Gastrointestinal Disorders
- Integumentary Disorders
- Respiratory Disorders
- Neurologic and Cognitive Disorders
- Renal and Urinary Disorders
- Infectious Disease Disorders
- EENT Disorders
- Hematologic Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Endocrine and Metabolic Disorders
- Oncologic Disorders
- Behavior
- Emotions and Motivation
- Growth & Development
- Intelligence and Language
- Psychological Disorders
- State of Consciousness
- Note Taking
- Concepts of Population Health
- Basics of Human Biology