Copy Of Copy Of Bronchitis

Anatomy and Function of the Respiratory System

Respiration is the act of breathing: • •

inhaling (inspiration) - taking in oxygen. exhaling (expiration) - giving off carbon dioxide.

The respiratory system is made up of the organs involved in the interchanges of gases, and consists of the: • • • • • •

nose pharynx larynx trachea bronchi lungs

The upper respiratory tract includes the following: • • •

nose nasal cavity sinuses o o o o

• •

ethmoid frontal maxillary sphenoid

larynx trachea

The lower respiratory tract includes the following:

• • •

lungs airways (bronchi and bronchioles) air sacs (alveoli)

The Function Of The Lungs The lungs take in oxygen, which cells need to live and carry out their normal functions. The lungs also get rid of carbon dioxide, a waste product of the body's cells. The lungs are a pair of cone-shaped organs made up of spongy, pinkish-gray tissue. They take up most of the space in the chest, or the thorax (the part of the body between the base of the neck and diaphragm). The lungs are enveloped in a membrane called the pleura. The lungs are separated from each other by the mediastinum, an area that contains the following: • • • • •

heart and its large vessels trachea (windpipe) esophagus thymus lymph nodes

The right lung has three sections, called lobes. The left lung has two lobes. When you breathe, the air: • • •

enters the body through the nose or the mouth. travels down the throat through the larynx (voice box) and trachea (windpipe). goes into the lungs through tubes called main-stem bronchi. o

one main-stem bronchus leads to the right lung and one to the left lung

o

in the lungs, the main-stem bronchi divide into smaller bronchi

o

and then into even smaller tubes called bronchioles

o

bronchioles end in tiny air sacs called alveoli

PATIENT PROFILE:

Name: Gwyneth Bala Ednilao Present Address: Bungro Pinili S. Norte Home Address: Bungro Pinili S. Norte Age: 4 years old Religion: Roman Catholic Gender: Female Nationality: Filipino Date o Admission: January 21, 2008 Time: 4 A.M Hospital: Corpuz Clinic and Hospital Ward: Sta. Catalina Ward Admitting Physician: Dr. Corpuz Chief Complain: fever, cough and colds Admitting Diagnosis: Acute Bronchitis

IV. PEARSON ASSESSMENT

P

January 22, 2008 Gwyneth Bala Ednilao 4 y/o, living in Bungro Pinili S. Norte General appearance: She is weak in appearance, having productive cough, irritable and restless

S> “Uyek nga uyek isuna supay ngata pakirigrigatan na ah umangesen” added by the mother

E

Eliminates adequately, an average of 1 per day.

R

Sleeps fairly

S O N

Usual bowel pattern. Sweats moderately.

Activity: mostly lying on bed and sitting on chair

Weak in appearance No known allergies to any foods Medications: Paracetamol syrup Cefalexin Suspension Ascorbic Acid Syrup With initial V/S as follows: BT 37C HR: 180bpm RR: 30cpm No DOB Hgb 14.6g/dl Hct 44% WBC 11.2 Neutrophils 0.92 Lymphocytes 0.08 Platelet count: 295 Diet appropriate for age Good appetite. Eats 1 cup of rice with meat and vegetable

Nursing History of Past and Present Illness

PTA Gwyneth Bala Ednilao was having cough for 2 days. She suffered cold, fever and headache. Her mother was worried because her cough was unusual she is irritable, restless and she has difficulty in sleeping, she was also given parecetamol calpol, as the days past her daughter was having productive cough and then her mother decided to consult her at Corpuz Clinic and Hospital.

Republic of the Philippines University of Northern Philippines Tamag, Vigan City

College Of Nursing

In Partial Fulfillment in the requirements of the subject RLE

Nursing Care Plan

Submitted to : Mr. Ace Florendo R.N Clinical Instructor

Submitted By: Manuel Peralta Jr. BSN IV-F

February 5, 2008