Abstract:
Most people with pulmonary tuberculosis will experience ineffective
airway cleaning (58%) which is still a top priority that must be addressed
immediately because of the inability to clear secretions from the respiratory tract
caused by inflammation and cavity formation accumulated by pulmonary
tuberculosis bacteria in the alveoli and if left untreated can cause death. The
general objective of this study is to provide ineffective nursing care for airway
clearance in pulmonary tuberculosis at Dr. Wahidin Sudiro Husodo Mojokerto.
The research method used is descriptive method in the form of case studies with
nursing care techniques. Participant 1 and participant 2 were given nebulizer
therapy and were taught to do chest physiotherapy to help dilute and help secrete.
The results obtained after the nursing action were that the participant 1 client was
able to issue a secret as much as 1cc and there was still an additional sound of soft
ronkhi breath in ics 2 ics 3 ics 4, and in the participant 2 clients mmpu issued a
secret as much as 3cc and there was no additional sound of breath ronkhi
problems. nursing can be resolved. This can be influenced by the high level of
leukocytes in participant 1 compared to participant 2, at partition 1 there is a delay
in obtaining proper treatment, and is influenced by unequal immunity. From these
results it was concluded that in participant 1 the problem was partially resolved
requiring continued intervention RR 26 x / minute, there was smooth Ronkhi,
while in participant 2 the problem was resolved RR 20 x / minute, there was no
ronkhi. although given the same nursing actions, the progress notes were not the
same.
