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Case of Tuberculosis
Case of Tuberculosis
College of Nursing
A 48-year-old male accompanied by his wife brought to the Emergency Room of Brent Hospital
and Colleges Incorporated. The wife verbalized that the patient has been coughing with blood
streaked for more than two (2) weeks already. The wife verbalized also that he has on and off
fever.
Initial assessment by the nurse showed that the patient is febrile with difficulty of breathing,
sweating and lethargic. The patient weighs 52 kgs
The vital signs are as follow:
Temperature - 38.9C
Apical pulse – 101 beats/minute
Respiration – 28 breaths/minute
Oxygen saturation – 94%
The doctor ordered the following for the patient:
routine laboratory works
oxygen by nasal cannula at 2 liters/min
chest x-ray
Paracetamol 500mg 1 tab evey 4 hour PRN for fever
Tranexamic Acid 10mg/kg IVT every 6 hours PRN for hemoptysis
Myrin P Forte 3 tablets OD 1 hour before breakfast
Stocks on hand:
Paracetamol 500 mg/tab
Tranexamic Acid 100mg/ml
Myrin P Forte tab
Laboratory Results:
Plan of Activities
Shift: 7am-3pm
GENERAL OBJECTIVES:
Acquisition and application of knowledge, skills, and attitude through the utilization of nursing process in
the care of patients with infectious and inflammatory diseases with emphasis on health promotion,
prevention, and maintenance of health.
Learning Objectives:
At the end of the 24 hours of Related Learning Experience, I will be able to:
1) To establish rapport with the Clinical Instructor, Duty mates, Staff professionally
2) To be oriented with the policies and protocols of current hospital
3) Acquire knowledge about the process of activities required in this hospital
4) Utilize/demonstrate the skills needed for Physical Assessment of patients properly
5) Assess the given patient’s health condition with Gordon’s Assessment
6) Determine the possible complication on a patient with Pulmonary tuberculosis
7) Identify the signs and symptoms of the presented medical condition
8) Determine the medical equipment/ nursing kit needed for physical assessment
8:00 am – 8:15 am - Courtesy call to the Head - To pay respect to the health care
8:15am – 8:30 am Nurse, Staff Nurses, and providers and inform them
other health personnel about our presence
- Complete chartings
- Discuss activities
throughout the day
- dismissal