Symptoms of TB in the lungs may include
- A bad cough that lasts 3 weeks or longer
- Weight loss
- Coughing up blood or mucus
- Weakness or fatigue
- Fever and chills
- Night sweats
Centers for Disease Control and Prevention
Nursing Care Plan for Pulmonary Tuberculosis
Nursing Assessment - IdentityThe assessment includes name, age, sex, religion, ethnicity, education, employment and housing clients. In addition, it is necessary also reviewed the name and address of responsible person, and its relationships with clients.
- History Formerly Disease
Review the history of the disease who had suffered from childhood to adulthood, including the experience of surgery or injury resulting from accidents, it is important to expose the client health issues that may cause more severe complications of the disease is tuberculosis. - Disease History Now
- Main Complaint
Complaints night fever, night sweats, coughing up phlegm / bleeding, difficulty breathing, fatigue, night sweats, decreased appetite, weight loss. - History of Disease
How long illness experienced, the things that lighten / aggravate the disease. - Efforts taken to resolve complaints.
- Main Complaint
- Health Patterns
- Activity / Rest
Clients may experience areduction in weakness ,shortness of breath due to work, difficulty sleeping at night ,night fever ,chills or sweating . Characterized by muscle weakness, pain, and shortness (advanced stage). - Ego Integrity
Clients can experience stress, financial problems, feeling helpless / hopeless marked denial, anxiety, fear, easily aroused. - Nutrition / fluid
Clients may complain of poor appetite, unable to digest, weight loss. Marked by poor skin turgor, dry / scaly skin, loss of muscle / subcutaneous fat loss. - Pain / Leisure
Increased chest pain due to recurrent cough, marked behavioral distraction and anxiety. - Respiratory
Clients complain of cough, productive or non-productive, short breath, a history of tuberculosis or exposure to an infected individual. Characterized by increased frequency, deaf percussionist and a decrease fremitus, breath sounds: decreased, tubular and / or pectoral whisper above the lesion area. Krekels recorded over the lung during inspiration stale quickly after a short cough. Characteristics of green sputum / purulent, mukoid yellow, or blood spots, mental changes (advanced stage). - Social interaction
Clients feel isolated / rejection due to communicable diseases, unusual patterns of change in responsibilities or change in physical capacity to perform the role. - Counseling / learning
Characterized by a family history of suffering from tuberculosis, the general inability / poor health status, failed to improve / recurrence of disease and do not want to participate in therapy.
(Doenges, 2000, p. 240-241) - Activity / Rest
- Ineffective Airway Clearance related to :
- thick secretions
- weakness, bad cough efforts
- edema, tracheal / pharyngeal
- Impaired Gas Exchange related to :
- reduced effectiveness of lung surface
- atelectasis
- alveolar capillary membrane damage
- thick secretions
- bronchial edema
- Risk For Infection and spread of infection related to :
- decreased immune system
- cilia function declines
- secretions that settle
- tissue damage due to the spread of infection
- malnutrition
- contaminated by the environment
- lack of knowledge about infectious germs
- Imbalanced Nutrition Less than Body Requirements related to :
- fatigue
- coughing frequently
- the production of sputum
- dyspnea
- anorexia
- impairment of financial capability
- Knowledge Deficit : about the condition, treatment, prevention relating to :
- nothing is explained
- wrong interpretation
- the information obtained is incomplete / inaccurate
- lack of knowledge / cognitive.