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.
- 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.