NURSING CARE PLAN FOR PULMONARY TUBERCULOSIS Assessment Nursing Diagnosis Inference Outcome Nursing Rationale Evaluation Interventions Subjective: Ineffective Airway Cough is the most After 8 hours of -Maintain infection -PTB is transmitted After 8 hours of “I had this recurrent Clearance related to common symptom of nursing care, client control through the via droplet inhalation nursing care, the cough for almost a presence of pulmonary will be able to use of mask and so proper precaution goal is partially met month now and it bronchial infection tuberculosis. It may readily expectorate performance of hand should be performed as evidenced by seems that I am and secretion produce yellowish or secretions and will washing before and to avoid transmission client’s participation having difficulty in greenish colored have absence or after contact with to other clients. to breathing and breathing at times...) sputum especially decrease in client. - Elevating the head coughing exercises – verbatim of client. during the day. episodes of of the bed and and ability to Eventually, the dyspnea. turning client every expectorate sputum Objective: sputum may be -Place client in high two hours help in upon evaluation; still streaked with blood. fowler’s position and decreasing the there are episodes of RR= 23 breaths/ min encourage reposition pressure placed on dyspnea as claimed PR= 95 beats/min Furthermore, a every two hours. the diaphragm. by the client. T= 37.5 degree person with PTB Celsius may experience - Allergen may Easy fatigability fatigue and loss of trigger more Productive cough energy. It may affect - Maintain room or accumulation of Chills at night his or her ability to environment free secretion due to Loss of appetite as expectorate from any sorts of respiratory response. claimed secretions, too. Aside allergen. - These exercises Chest X- ray and from that, difficulty hasten the expulsion sputum examination of breathing signifies - Teach and of sputum and aids in revealed positive for that there may be an encourage deep maintaining airway pulmonary accumulation of breathing and patency. tuberculosis secretion in the coughing exercises. bronchial cavity of - Fluids help loosen the lungs. secretion in the -Emphasize to lungs. increase fluid intake depending on individual tolerability -Warm fluids help in or as indicated. loosening the secretions while cold - Instruct to take liquids triggers warm liquids instead cough more often. of cold ones. - Through the aid of gravity and -Provide postural percussion secretions drainage and are readily expelled. percussion. - It provides baseline data for future -Monitor breathing comparison in the patterns and breath evaluation of disease sounds. condition. -Educate client and - PTB can be family about disease transmitted through condition and the droplet inhalation need for compliance and 6 months with the therapeutic compliance to regimen. medication is needed in order to be treated with it.
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