nurse's notes

COUGH-

• an stimulus produced from an infectious process or from an irritant such as smoke , smog, dust or a gas
• a "watch dog" of the lungs- a protection against the accumulation of secretions in the bronchi or bronchioles
• it indicate pulmonary disease

If COUGH

• is harsh and loud -indicate a disease of the trachea or large bronchi
• is with painful, short dry cough may indicate a lesion of the parenchyma or pleura
• is with profuse amount of purulent sputum, patient may have an infectious process
• there is a gradual increase of sputum over a period of time may the symptom af chronic bronchitis or bronchiectasis
• with pink- tinged mucoid sputum is an indication of lung tumor
• profuse frothy pink material may indicate pulmonary edema

Nursing Measure for patient with cough:

• note the amount, odor, color of sputum
• mouth care and wise selection of food to stimulate his appetite
  
• proper environment - after proper washing of sputum cups, emesis basin should be remove away from his meal arrives to prevent him from loss of appetite emotionally
• encourage citrus fruits to feel a fresher mouth

.