nr 602 primary care of the childbearing and childrearing family
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NR602 Week 2 Grand Rounds Transcript
Chamberlain College of Nursing, Course Code: NR 602, Course Title: Primar
Care of the Childbearing and Childrearing Family
, 1. Hi, my name is Krysta Thompson and my grand rounds presentation is on
RSV and bronchiolitis.
2. First, I’m gonna discuss the pathophysiology of bronchiolitis.
a. It is a communicable disease that is transmitted by respiratory
secretions, usually by hand contact with an older child or adult
with
an upper respiratory infection.
b. The most common virus causing bronchiolitis is respiratory syncytial
virus, or RSV, though there are other common viruses that can
cause
it as well.
c. Whatever virus is present will cause inflammation, epithelial cell
edema in the linings of the small airways, copious mucus
production, and even some necrosis.
d. The inflammation and epithelial cell edema cause airway
obstruction in the small bronchioles and alveolar epithelial cells.
e. The epithelial necrosis causes dense plugging of the bronchial
lining, which then causes airway resistance, atelectasis,
hyperinflation, and
increased mucus production.
f. Usually if the case is mild, the symptoms will last for 1-3 days
g. If the case is more severe, there can be cyanosis, retractions, nasal
flaring, and respiratory distress.
3. RSV is a highly contagious virus that can cause bronchiolitis, along with
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