| Ch 15 | Page 5 / 13 Paragraphe 4 / 8 |
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| Palliative care | Bronchial congestion | |
Bronchial congestion is in relation with abnormal production of bronchial mucus with or without coughing.
The circumstances of bronchial congestion together with the aspect of sputum enable us to distinguish the origin of bronchial congestion:
simple chronic bronchitis (non-puriform expectoration),
infectious bronchopneunomathies (puriform expectoration),
vomica of pulmonary abcess with or without blood
Strong antibiotherapy should be instituted in the case of pulmonary infection.
Otherwise, treatment is the same as for coughing.
If the patient is able to expectorate
Coughing should be respected (cf. previous page)
If the patient is unable to expectorate
If the patient can cooperate: regular suctions should be performed, either with a tube or during fibroscopy,
If the patient is exhausted (or in terminal phase): mucosa must be dried:
scopolamin butylbromure or bromhydrate used in patch form, offering rapid sedation for around 4 hours,
atropine (in nebulisation).
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