cute Bronchitis

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Handouts/Teaching sheets

What is bronchitis? Bronchitis is an inflammation of the large breathing tubes

(airways) that are called bronchi, which causes increased production of mucus and other
changes. Although there are several different types of bronchitis, the two most common
are acute and chronic (primarily affects adults).
What is acute bronchitis? Acute bronchitis is the inflammation of mucous
membranes of the bronchial tubes.
What causes acute bronchitis? Acute bronchitis is usually caused by infectious
agents such as bacteria or viruses. It may also be caused by physical or chemical agents -
dusts, allergens, strong fumes, and those from chemical cleaning compounds, or tobacco
smoke. (Acute asthmatic bronchitis may happen as the result of an asthma attack, or it
may be the cause of an asthma attack.)

In children, the most common cause of bronchitis is a virus, although in children over 6
years of age, it can be caused by bacteria. Acute bronchitis is usually a mild condition.

Acute bronchitis may follow the common cold or other viral infections in the upper
respiratory tract. It may also occur in children with chronic sinusitis, allergies, or those
with enlarged tonsils and adenoids. Pneumonia is a complication that can follow
bronchitis.
 Antibiotics overuse
Antibiotic overuse in
children has become a
common problem,
What are the symptoms of acute bronchitis? The aggravated by parental
following are the most common symptoms for acute pressure for the
bronchitis. However, each child may experience symptoms medication, according to
differently. Symptoms may include: the American Academy of
Pediatrics (AAP). In 1980,
• Runny nose, usually before a cough starts. 4.2 million prescriptions
• Malaise (an overall body discomfort or not feeling were written for
well). amoxicillin, an oral
• Chills. antibiotic to treat ear
• Slight fever. infections. In 1992, the
• Back and muscle pain. number of prescriptions
• Sore throat. had grown to 12.3 million
(194 percent increase). Use
In the earlier stages of the condition, children may of another antibiotic to
experience a dry, non-productive cough which progresses treat ear infections,
later to an abundant mucus-filled cough. Younger children cephalosporins, increased
may have some vomiting or gagging with the cough. The from 876,000 prescriptions
symptoms of bronchitis usually last seven to 14 days, but in 1980 to 6.8 million in
may also persist for three to four weeks. 1992 (a 687 percent
increase).
The symptoms of acute bronchitis may resemble other
conditions or medical problems. Consult your child's Overuse of antibiotics is
physician for a diagnosis. leading to strains of
diseases that are becoming
resistant to the medication,
making it harder to treat
How is acute bronchitis diagnosed?
patients. All too often,
antibiotics have been
Bronchitis is usually diagnosed solely on the history and
prescribed for conditions
physical examination of the child. Many tests may be
such as colds, fluid in the
ordered to rule out other diseases, such as pneumonia or
middle ear, or bronchitis,
asthma. In addition, the following tests may be ordered to
which do not respond to
help confirm diagnosis:
antibiotics, according to the
Centers for Disease
• Chest x-rays - a diagnostic test which uses invisible
Control and Prevention
electromagnetic energy beams to produce images of
(CDC). Antibiotics are
internal tissues, bones, and organs onto film.
only effective in treating
• Blood tests. bacterial infections.

• Pulse oximetry - an oximeter is a small machine The key to preventing

that measures the amount of oxygen in the blood. To overuse of antibiotics is
obtain this measurement, a small sensor (like a education of the parents
Band-Aid) is taped onto a finger or toe. When the and physicians in the
machine is on, a small red light can be seen in the appropriate use of
sensor. The sensor is painless and the red light does antibiotics, according to the
not get hot. AAP. Some tips to
remember when taking
antibiotics, according to the
American Medical
Association (AMA),
include the following:
 • Sputum cultures.

• Lung tests.

Treatment for acute bronchitis:

Specific treatment for acute bronchitis will be determined by your child's physician based
on:

• Your child's age, overall health, and medical history.

• Extent of the condition.
• Your child's tolerance for specific medications, procedures, or therapies.
• Expectations for the course of the condition.
• Your opinion or preference.

In many cases, antibiotic treatment is not necessary to treat acute bronchitis, since most
of the infections are caused by viruses. Even children who have been coughing for longer
than eight to 10 days usually do not need antibiotics. Most of the treatment is supportive
of the symptoms your child may have, and may include:

• Analgesics, such as acetaminophen (for fever and discomfort).

• Cough medicine.
• Increased fluid intake.
• Cool mist humidifier in the room may be helpful.

Antihistamines should be avoided, in most cases, because they dry up the secretions and
can make the cough worse.

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"Goodbye To You"

Of all the things I've believed in

I just want to get it over with
Tears form behind my eyes
But I do not cry
Counting the days that pass me by

I've been searching deep down in my soul

Words that I'm hearing are starting to get old
It feels like I'm starting all over again
The last three years were just pretend
And I said,
[Chorus:]
Goodbye to you
Goodbye to everything I thought I knew
You were the one I loved
The one thing that I tried to hold on to
The one thing that I tried to hold on to

I still get lost in your eyes

And it seems that I can't live a day without you
Closing my eyes and you chase my thoughts away
To a place where I am blinded by the light
But it's not right

[Chorus]

And it hurts to want everything and nothing at the same time

I want what's yours and I want what's mine
I want you
But I'm not giving in this time

[Chorus x2]

And when the stars fall

I will lie awake
You're my shooting star

ELLIOTT YAMIN - Wait For You lyrics

I never felt nothing in the world like this before
Now I'm missing you and I'm wishing you would come back through my door
Why did you have to go?
You could have let me know; so now I'm all alone

Girl you could have stayed but you wouldn't give me a chance
With you not around it's a little bit more than I can stand
And all my tears they keep runnin' down my face
Why did you turn away?

So why does your pride make you run and hide

Are you that afraid of me?
But I know it's a lie what you keep inside
This is not how you want it to be

So baby I will wait for you

Cause I don't know what else I can do
Don't tell me I ran out of time
If it takes the rest of my life

Baby I will wait for you

If you think I find it just ain't true
I really need you in my life
No matter what I have to do
I'll wait for you

Been a long time since you called me

(How could you forget about me)
You gotta be feeling crazy
How can you walk away
(When) Everything stays the same
I just can't do it baby

What will it take to make you come back

Girl I told you what it is and it just ain't like that
Why can't you look at me?
You're still in love with me
Don't leave me crying

Baby why can't we just start all over again

Get it back to the way it was
If you give me a chance I can love you right
But you're telling me it won't be enough

So baby I will wait for you

Cause I don't know what else I can do
Don't tell me I ran out of time
If it takes the rest of my life

Baby I will wait for you

If you think I find it just ain't true
I really need you in my life
No matter what I have to do
I'll wait for you

So why does your pride make you run and hide

Are you that afraid of me?
But I know it's a lie what you're keeping inside
That is not how you want it to be

Baby I will wait for you

Baby I will wait for you
If it's the last thing I do
Baby I will wait for you
Cause I don't know what else I can do
Don't tell me I ran out of time
If it takes the rest of my life

Baby I will wait for you

If you think I find it just ain't true
I really need you in my life
No matter what I have to do
I'll wait for you
I'll be waiting...
I never felt nothing in the world like this before
Now I'm missing you and I'm wishing you would come back through my door
Why did you have to go?
You could have let me know; so now I'm all alone

Girl you could have stayed but you wouldn't give me a chance
With you not around it's a little bit more than I can stand
And all my tears they keep runnin' down my face
Why did you turn away?

So why does your pride make you run and hide

Are you that afraid of me?
But I know it's a lie what you keep inside
This is not how you want it to be

So baby I will wait for you

Cause I don't know what else I can do
Don't tell me I ran out of time
If it takes the rest of my life

Baby I will wait for you

If you think I find it just ain't true
I really need you in my life
No matter what I have to do
I'll wait for you

Been a long time since you called me

(How could you forget about me)
You gotta be feeling crazy
How can you walk away
(When) Everything stays the same
I just can't do it baby

What will it take to make you come back

Girl I told you what it is and it just ain't like that
Why can't you look at me?
You're still in love with me
Don't leave me crying

Baby why can't we just start all over again

Get it back to the way it was
If you give me a chance I can love you right
But you're telling me it won't be enough

So baby I will wait for you

Cause I don't know what else I can do
Don't tell me I ran out of time
If it takes the rest of my life

Baby I will wait for you

If you think I find it just ain't true
I really need you in my life
No matter what I have to do
I'll wait for you

So why does your pride make you run and hide

Are you that afraid of me?
But I know it's a lie what you're keeping inside
That is not how you want it to be

Baby I will wait for you

Baby I will wait for you
If it's the last thing I do

Baby I will wait for you

Cause I don't know what else I can do
Don't tell me I ran out of time
If it takes the rest of my life

Baby I will wait for you

If you think I find it just ain't true
I really need you in my life
No matter what I have to do
I'll wait for you
I'll be waiting...