Ineffective Airway Clearance related to Tuberculosis


Ineffective Airway Clearance related to Tuberculosis

Nursing Diagnosis for TB Tuberculosis: Ineffective airway clearance related to thick secretions or blood secretions.

Expected outcomes are:
  • Maintain the patient's airway
  • Removing secretions without help


Nursing Interventions Ineffective Airway Clearance related to Tuberculosis:

  • Assess respiratory function, eg, breath sounds, speed, rhythm, depth and use of accessory muscles.
  • Note the ability to remove mucous / coughing effective: note the character, amount of sputum, presence of hemoptysis.
  • Give the patient or the semi-Fowler position higher. Help the patient to cough and deep breathing exercises.
  • Clean secretions from the mouth and trachea: suction as needed.
  • Collaboration with the medical team in the provision of drugs.
Rrationalization:
  • Decrease in breath sounds may indicate atelectasis.
  • Expenditure is difficult when the secretions are very thick. Bloody sputum or blood thick bright due to lung damage or injury and may require evaluation bronkal.
  • Position to help maximize lung expansion and reduce respiratory effort.
  • Prevent obstruction / aspiration.

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