ASUHAN KEPERAWATAN DENGAN MASALAH BERSIHAN JALAN NAFAS TIDAK EFEKTIF PADA KASUS TBC PARU DI RSI SAKINAH MOJOKERTO

Abstract

Pulmonary TB is caused by Microbacterium Tuberculosis which attacks the lower respiratory tract precisely in the lung parenchyma resulting in a buildup of sputum on the alveoli causing a problem namely ineffective airway cleansing which is characterized by coughing for two weeks or more accompanied by chest pain, coughing can be in the form of coughing up blood. The purpose of this study is to find a picture of the implementation of nursing care in the field. The research method is literature review from two research journals. The implementation provided has been adjusted to the nursing care plan, the ineffectiveness of the airway cleansing, including reviewing respiration function, giving the position of semi-fowler or high fowler, maintaining fluid intake by giving warm water ± 2500ml, giving oxygen or nebulizer, and recording secretions. The evaluation results from the first journal examination objectively client 1 looks no coughing, relaxing, no tightness, regular breathing rhythm, breathing frequency 20x / minute, and client 2 is no coughing, regular breathing rhythm, breathing frequency 23x / minute, while the results of the second journal client 1 said it was still coughing but rarely and was still claustrophobic, from the objective examination results there were still additional ronkhi voices, as well as the breathing frequency 20x / minute, and client 2 the problem was resolved this was evidenced from the criterion of the results that had been achieved ie the client said sputum many have come out, started lightly, no cough, no tightness, from the examination results objectively there was no additional sound ronkhi, and breathing frequency 18x / minute, so there are no complications in the healing process. Overall interventions carried out, giving the position of semi-fowler and nebulizer are actions that can accelerate the cleansing of the airway again effectively so that it is expected to be carried out properly and correctly in accordance with the procedure.