A Different Cause of Cough session 3

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A Different Cause of Cough session 3 by Mind Map: A Different Cause of Cough session 3

1. step 11

1.1. Review and evaluate

1.2. Group members

1.3. Chairman

1.4. Scribe

1.5. Tutor

1.6. Material

1.7. 10 minutes

2. Step 9

2.1. Review session 2

2.2. visualize the data and theory

2.3. 20 minutes

3. Step 10

3.1. Management (for the individual)

3.1.1. goals of treatment

3.1.1.1. control of respiratory infections and restore lung functions

3.1.1.2. provide sufficient nutrition

3.1.1.3. control of inflammation process

3.1.1.4. clearence of mucous

3.1.1.5. manage and reduce complications and exacerbations

3.1.2. initially (acute infection)

3.1.2.1. antibiotic therapy

3.1.2.1.1. 14 days initially (IV then by a neubulizer) e.g. timentin and tobramycin

3.1.2.1.2. ciprofloxacin orally but it may develop resistance (2nd line)

3.1.2.1.3. long term as azithromycin

3.1.2.2. bronchodilators

3.1.2.2.1. Albuterol or other to increase the FEV

3.1.2.2.2. ipratropium bromide as anticholinergic

3.1.2.2.3. theophellyne

3.1.2.3. mucolytics

3.1.2.3.1. with a nebulizer (dornase alfa) along with inhaled hypertonic saline

3.1.2.4. corticosteroids

3.1.2.4.1. systemic corticosteroids are not recommended due to the side effects

3.1.2.4.2. inhaled to supress the inflammation in acute setteings

3.1.3. ongoing treatment

3.1.3.1. pharmacollogical

3.1.3.1.1. oral pancreatic enzymes and vitamin supplements

3.1.3.1.2. inhaled manitol to improve the lung function

3.1.3.1.3. mucolytics and inhaled hypertonic saline

3.1.3.1.4. CFTR potentiators for some mutations

3.1.3.1.5. inhaled bronchodilators, corticosteroids and antibiotics

3.1.3.1.6. H2 receptor antagonist to increase the PH and thus improve the absorption for pancratic insuffeceincy

3.1.3.2. physiotherapy

3.1.3.2.1. postural drainage

3.1.3.2.2. vest that causes vibrations on the chest that will collect mucous and can be coghed after that

3.1.3.2.3. brathing devices or chest clappers

3.1.3.2.4. aerobic excercise along the physiotherapy, with watching his diets well and taking bronchodilators

3.1.3.2.5. self induced drainage for patients cannot comply with postural drainage

3.1.3.3. supplementations

3.1.3.3.1. proteins

3.1.3.3.2. vitamins

3.1.3.3.3. nasogastric tube in sever cases to provied food

3.1.3.3.4. asses dehydration

3.1.3.4. surgery

3.1.3.4.1. lung transplantation

3.1.3.4.2. lavage mucous drainage

3.1.3.4.3. polyps removal

3.1.3.4.4. bowel surgeries for intersucception

3.1.3.5. education

3.1.3.5.1. aware the patient for any new symptooms like dyspnea (pneumothorax)

3.1.3.5.2. how to use the devices for mucous clearence

3.1.3.5.3. general hygeine including sleep and gathering

3.1.3.5.4. effects of drugs and sexual behaviors

3.1.3.5.5. screening for marriage (not to have a carrier wife)

3.1.3.5.6. avoid common allergins to him and having recommended vaccinations (H.influenza)

3.1.3.5.7. cystic fibrotic pregnant women awarenes

3.1.3.5.8. legal issues and insurance issues

3.2. Prevention (for the population)

3.2.1. primary

3.2.1.1. pre-marriage screening for carriers and affected people

3.2.2. secondary

3.2.2.1. screening for expected (at risk) prople having the disease and pregnant women

3.2.2.2. screening for infants

3.2.2.2.1. Chorionic villi or amnioscentesis

3.3. 60 minutes