Pulmonary Tuberculosis (TB) - 3 Nursing Diagnosis, Interventions and Rational

Nursing Diagnosis for Plan Tuberculosis (TB) : Ineffective airway clearance related to the accumulation of purulent secretions in the airway.

Goal: Airway clearance back effectively.

Nursing Interventions:

• Assess respiratory function, for example; breath sounds, speed and rhythm.
• Give the patient semi-Fowler's position or high Fowler effectively assist the patient to cough and deep breathing exercises.
• Maintain fluid intake at least 2500 ml / day, except, contra indications.
• Collaboration for the administration of drugs according to indications, mucolytic drugs.

Rational:

• Decreased breath sounds may indicate atelectasis, crackles, wheezing showed accumulation of secretions inability to clean the airway.
• The position helps maximize lung expansion and lower respiratory effort.
• High input of fluids helps to thin the secretions, making it easily removed.
• Mucolytic agents decrease the viscosity and adhesion of lung secretions for easy cleaning.

Nursing Diagnosis for Plan Tuberculosis (TB) : Imbalanced Nutrition Less than Body Requirements related to the production of sputum, anorexia.

Goal: Demonstrate increased weight.

Nursing Interventions:

• Record the patient's nutritional status, record of skin turgor, weight and degree of underweight, ability / inability to swallow, a history of nausea-vomiting.
• Supervise the input or output and weight periodically.
• Provide oral care before and after the act of breathing.
• Encourage eating little and often with foods high in calories and high in protein.
• Collaboration with a nutritionist to determine the composition of the diet.

Rational:

• Useful in defining the degree / problems in determining appropriate intervention options.
• Useful in measuring the effectiveness of nutrition and fluid support.
• Lowering bad taste because the rest of the sputum or leftover medicines.
• Maximize nutrient inputs as energy needs and decrease gastric irritation.
• Provide assistance in planning a diet with adequate nutrients for metabolic and dietary needs.

Nursing Diagnosis for Plan Tuberculosis (TB) : Knowledge Deficit: on the conditions, rules of action and displacement.

Goal: To declare understanding of disease processes / prognosis and treatment needs.

Nursing Interventions:

• Assess the patient's ability to learn. Example: the problem of weakness, the level of participation and the best environment.
• Emphasize the importance of maintaining a high protein and carbohydrate diet and adequate fluid intake.
• Explain the drug dose, frequency, expected work and long treatment reasons
• Emphasize to not drink alcohol and do not smoke.

Rational:

• Learning depends on the emotional and physical readiness improved in individual stages.
• Meet the metabolic needs, help minimize the weaknesses and improve healing.
• Increase cooperation in the treatment program and prevent withdrawal of the drug.