NURSING CARE PLAN OF

PULMONARY TUBERCULOSIS
CREATED BY :
1. HANA MUZDALIFAH
2. NUR MALIYASARI
3. PUTRI PANCALI H
4. ROSALINA DYAH L
5. SAFITRI ZUMMY A
6. VERONIKA SIBARANI
 DEFINITION
• Pulmonary tuberculosis (TB) is a contagious bacterial infection that mainly involves
the lungs, but may spread to other organs.

CAUSATIVE ORGANISM

• Pulmonary TB is caused by M. Tuberculosis which is a rod-shaped bacteria with a

waxy capsule. It is non-motile (requires external forces, such as coughing for
example, to move from place to place), does not form spores, and is aerobic.
 RISK FACTORS SYMPTOMS:
1. Old age 1. Cough (sometimes producing phlegm)
2. Infants 2. Coughing up blood
3. Children
3. Excessive sweating, especially at night
4. Alcoholism
4. Fatigue
5. Low socio economic status

6. Drug addicts 5. Fever

7. HIV positive 6. Unintentional weight loss

8. People with weakened immune systems 7. Pallor:
9. Severely malnourished
8. Breathing difficulty
10. People with frequent contact to the infected individual
9. Chest pain
11. Have poor nutrition

12. Live in crowded or unsanitary living conditions

10. Wheezing

13. Healthcare workers

 TRANSMISSION
• Mycobacterium tuberculosis is spread by small airborne droplets, called droplet nuclei,
generated by the coughing, sneezing, talking, or singing of a person with pulmonary or
laryngeal tuberculosis. These minuscule droplets can remain airborne for minutes to hours
after expectoration.
 NURSING CARE PLAN
PX’S NAME: MR, W AGE: 59Y/O GENDER: MALE

DIAGNOSIS: PULMONARY TUBERCULOSIS ROOM#: ½ (MALE WARD) RGH

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE
Short term goal: 1. Assessed respiratory rate. 1. Provides a basis for
Subjective: Ineffective airway 2. Noted chest movement; use evaluating adequacy of
During my 6hrs nursing intervention, the client of accessory muscles during
clearance related to ventilation.
will be able to: respiration.
“Difficulty of breathing” c/c. 2. Use of accessory muscles of
poor cough effort
3. Auscultated breath sounds;
possibly evidence by 1. Sustain respiratory rate within normal respiration may occur in
noted areas with presence
range: RR = 12-20 cpm. response to ineffective
Objective: abnormal breath of adventitious sounds.
2. Display decreasing amount of secretion. ventilation.
sounds and dyspnea. 3. Allay restless-ness. 4. Documented respiratory
3. Crackles indicate
secretions: character and
1. Abnormal breath accumulation of secretions
amount of sputum.
sounds: wet crackles. and inability to clear
Long term goal: 5. Maintained patient on
2. Dyspnea; use of airways.
moderate high back rest.
accessory muscles for During the client’s stay at the hospital he will be 6. Checked for obstructions: 4. Expectorations may be
respiration: elevated able to maintain patent airway as evidenced by: accumulation of secretions. different when secretions are
shoulders. 7. Take medications as ordered very thick.
3. Restless 1. Normal respiration as evidenced by by the physician. 5. Positioning helps maximize
absence of dyspnea and adventitious
4. Vital signs: lung expansion.
breath sounds (wet crackles).
BP - 80/60 hhmg 6. To maintain adequate
2. Normal breathing pattern: RR = 12-20
Tº - 36.5ºc cpm. airway patency.
RR - 26 cpm 3. Absence of bronchial secretions.
PR - 75 bpm 4. Allay restless-ness
THANKYOU 