Coughing and spitting white sputum are common symptoms among patients with bronchitis, which seriously affects their work and life. So how should we treat patients with bronchitis who have coughs and spit out white sputum? Most people don't know much about this. In fact, there are four treatments for bronchitis coughing and spitting white sputum. The first is that when the patient has systemic symptoms, he should pay attention to rest and keep warm. 1. If the patient has systemic symptoms, he should rest and keep warm. The goals of treatment are to relieve symptoms and improve body function. People often require fluids and antipyretic drugs. Antitussive drugs can be used appropriately. When the sputum is large or sticky, expectorants can be used. 2. Patients with acute bronchitis There is no obvious therapeutic effect of antibacterial drugs, and the abuse of antibacterial drugs should be avoided when treating patients with acute bronchitis. However, if the patient has fever, purulent sputum and severe cough, it is an indication for the use of antibacterial drugs. Patients with acute bronchitis should be treated with antibiotics. Antibiotics against Chlamydia pneumoniae and Mycoplasma pneumoniae, such as erythromycin, can be used. Clarithromycin or azithromycin can also be used. During influenza epidemics, anti-influenza treatment measures should be applied if there are symptoms of acute bronchitis. 3. Treatment of acute exacerbation of chronic bronchitis (1) To control infection, antimicrobial drugs should be selected based on the main pathogens and severity of the infection or based on the drug sensitivity results of the pathogens. If the patient has purulent sputum, it is an indication for the use of antibacterial drugs. Mild cases can be taken orally, while more serious cases can use intramuscular injection or intravenous drip of antibiotics. Commonly used antibiotics include penicillin G, erythromycin, aminoglycosides, quinolones, cephalosporins, etc. (2) Expectorant and antitussive drugs: In addition to anti-infection treatment, patients in the acute stage should be given expectorants and antitussive drugs to improve symptoms. Commonly used drugs include ammonium chloride mixture, bromhexine, ambroxol, carboxymethylcysteine and strong diluent. Chinese patent medicine also has a certain effect in relieving cough. For the elderly who are weak and unable to cough up sputum or have a large amount of sputum, they should be assisted in expectoration to clear the respiratory tract. The use of cough suppressants should be avoided to prevent central nervous system depression, aggravation of airway obstruction and complications. 4. Treatment of stable chronic bronchitis Pay attention to the prevention and treatment of colds: colds can cause relapse of old illnesses in patients in remission. Over a longer period of time (at least 1 year), it is important to regularly take preventive measures against colds, either with a flu shot or by taking herbal medicines that prevent colds. |
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