INTRODUCTION

Acute Bronchitis is a syndrome, usually viral in origin, with cough as a prominent feature. It refers to an inflammation of the bronchi or air passage of the lungs. It is a breathing disorder affecting the expiratory function in most cases, some infections also occur in the nose and throat. The presentation of acute bronchitis is usually mild and self-limited, requiring only supportive treatment. Cough may be productive or nonproductive. Associated symptoms include low-grade fever, chest discomfort, sore throat, and fatigue. In children, the smaller airways are easily obstructed by inflammation, so that severe obstruction may occur. The smallness of airways in proportion to body size is due to a smaller lumen in relation to the vessel wall.

Treatment for patients with Acute Bronchitis is mainly symptomatic and includes rest, humidification, and increased fluid intake. Exposure to cigarette smoke should be avoided. Cough suppressants are not recommended unless cough interferes with the childs ability to rest. Antihistamines should be avoided because of their drying effect on secretions. Antibiotics should be given only if a bacterial infection is confirmed by culture or if the clinical picture supports the diagnosis. According to the Environment health country profile conducted by the World Health Organization, the ten leading causes of morbidity in the Philippines are diarrhea, Bronchitis/Bronchiolitis, pneumonia, influenza, hypertension, tuberculosis, diseases of the heart, malaria, measles, and chickenpox. Whereas bronchitis ranked 3 among the ten causes of morbidity. Respiratory diseases and COPD are in the top ten causes of morbidity in the Philippines. Research show that the incidence of Bronchitis among Metro Manila children is 11 times the national average and that chronic cough, chronic phlegm, wheezing and shortness breath are highest among drivers and commuters.

OBJECTIVES
General Objectives: This case study aims to analyze the contributing factors leading to the development of the problem through the use of the nursing process on the care of a pediatric client diagnosed with Acute Bronchitis.

Specific objectives:

1. Identify the contributing factors leading to the development of the problem 2. Analyze the relationship of the factors leading to the development of the problem 3. Discuss nursing interventions that were utilized to solve the problems 4. Explain the patients response towards the nursing interventions being utilized

PATIENT PROFILE
NAME: boi prominente ADDRESS: Purok Maarte, Umaarte ng Umaarte CN DATE AND PLACE OF BIRTH: March 2, 2003 @ Paracale AGE: 10 years old CIVIL STATUS: child NATIONALITY: Filipino RELIGIOUS PREFERENCE: Roman Catholic DATE OF ADMISSION: September 18, 2011 TIME OF ADMISSION: 9 something CONDITION UPON ADMISSION: Cough and Fever (39.2c) HEALTH CARE FINANCING: Father ATTENDING PHYSICIAN: Dra. Labarro DATE AND TIME OF DISCHARGE: UNKNOWN ADDMITTING DIAGNOSIS: Acute Bronchitis

NURSING HISTORY: Past Health History: