ASUHAN KEPERAWATAN DENGAN MASALAH BERSIHAN JALAN NAFAS TIDAK EFEKTIF PADA PASIEN TB PARU DI RSI SAKINAH MOJOKERTO

Abstract

Pulmonary TB caused by mycrobacterium tuberculosis is an infectious disease that attacks the lungs and almost all other organs of the body. Symptoms early and often complained of is a continuous cough accompanied by a buildup of secretions in the lower respiratory tract. The purpose of this study is to find a picture of the implementation of airway clean nursing nursing care ineffective in pulmonary TB disease in the field with the literature review method in 2 research journals. The implementation provided has been adjusted to the nursing care plan the ineffectiveness of the airway cleansing including reviewing respiration function, giving a semi or fowler position, maintaining fluid intake with 2500ml warm water, providing oxygen or nebulizer therapy and recording discharge secretions. Evaluation results from Journal 1 on client 1 shortness of breath are much reduced, can breathe freely, secretions can be removed, the patient is lying in a semi-fowler position, intake 24 hours 3425ml, nasal O2 2l / minute, breath frequency 22x / minute, SPO² 96%. Client 2, said there was no shortness of breath, no phlegm but still coughing, ronchi reduced, breathing frequency 23x / minute, SPO² 97%. Journal 2 client 1 is no cough, client is relaxed, no dypsnea, regular breathing rhythm, breathing frequency 20x / minute, SPO² 97%. client 2 has no cough, regular breath rhythm, breathing frequency 23 / minute, nasal O2 6lpm, there is no breathing aid muscles.