NURSING CARE PLAN

Name of Patient: Llanto, Mario Magno Chief of Complaints: Dyspnea

Hospital: VSMMC Diagnosis: Pulmonary Tuberculosis
Ward and Bed No.: Miscellaneous Ward, Bed 11
Age: 58 yrs. old
Sex: Male
Civil Status: Married

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Ineffective The risk of TB is After 8 hours Independent:  Respiratory status After 8 hours of
breathing a higher in older of nursing  Monitor respiratory assessment helps nursing
“ Naglisod ko og pattern people who have intervention status, including vital gauge the intervention the
ginhawa “ as related to close contact the patient will signs, breath sounds, patient’s severity patient was
verbalized by the acute with a newly be: and skin color. and whether it’s able to:
patient. infection and
diagnosed TB progressing.
decreased
lung patient, those  Promote  To provide relief  Breathing
OBJECTIVE:
capacity. who have TB good  Administer oxygen from symptoms of returned to
before, respiratory therapy as ordered. hypoxemia and normal rate
 Cough
gastrectomy function and hypoxia. and pattern
nonproductiv
patients, and treat
e at first but  ABG levels and  Minimal or
infection
later those affected  Monitor ABG levels continuous pulse no signs of
 Promote
produces with diabetes and oxygen oximetry infection.
comfort
sputum and mellitus. The saturation as ordered. measures the
progresses aging process blood’s oxygen
to weakens the content and are
hemoptysis. immune system,
 Crackles  Place the patient in good indicators of
further increasing semi-fowlers position the lung’s ability
 Pleuritc pain the likelihood of
 Dyspnea and place the to oxygenate the
tubercular diaphragm in proper blood.
 infection in older position to contract.  To increase chest
V/S taken: adults.  Collect sputum expansion and to
samples as ordered. alleviate dyspnea.
T- 36.2 C Transmission
P- 74 bpm
occurs when
R- 24 cpm
BP- 120/80
droplet nuclei are  To monitor the
mmHg produced form progress of the
an infected disease and
person’s coughs treatment.
or sneezes. If Source:
inhaled, tubercle (www.sribd.com)
bacillus settles in Dependent:
the alveolus and
infection occurs, Administer drugs as
with ordered by the physician.
alveolocapillary
dilation and Source:
endothelial (www.sribd.com)
swelling. The
incubation time
for TB is 4 to 8
weeks. TB is
usually
asymptomatic in
primary infection.

Source:

(Wikipedia.com)