Professional Documents
Culture Documents
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- malnourished
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:
Ward: ER
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
Day 1
7:30 am – 7:45 am - Courtesy call to the Head - To pay respect to the health care
Nurse, Staff Nurses, and providers and inform them
other health personnel about our presence
3:00 pm
Health perception/ Health View of the patient about the The patient has been coughing
management disease and how to deal with with blood streaked for more
patients who carried the disease. 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.
Nutritional- Metabolic The ability of patients to consume The lack of appetite in patient
food has decreased due to the is due to patient’s consistent
lack of appetite. occurrence of coughing with
blood streaked and fever.
Sleep- Rest Rest and sleep are often disturbed Evidence is seen by patient
due to cough experienced at being lethargic and the on and
night. off fever may cause hindrance
to patient’s sleeping schedule