Impaired Gas Exchange related to Pulmonary Tuberculosis


Impaired Gas Exchange related to Pulmonary Tuberculosis

Nursing Diagnosis for Pulmonary Tuberculosis

Pulmonary Tuberculosis is a contagious bacterial infection that involves the lungs, but may spread to other organs.

TB is contracted when someone who has TB and is not receiving the proper treatment of coughs sneezes or spits into the water. This releases the germ into the air thus making it possible for someone else to Inhale it. Therefore Easily TB spreads in poor, overcrowded areas.

A course of TB medication must be taken once every day for 6 months. This course of medication is only taken by individuals who have contracted the disease for the first time. If the course of TB medication is not completed then it is highly Likely that the individual will again contracted TB. However instead of a 6 month course of TB medication the individual will have to have to take TB medication for 8 months or longer.

Nursing Diagnosis for Pulmonary Tuberculosis: Impaired Gas Exchange
related to:
damage to the alveolar-capillary membrane.

Goal: effective gas exchange.

Expected outcomes:
  • Demonstrated effective respiratory frequency.
  • Improved gas exchange in the lung.
  • Adaptive address causative factors.

Nursing Interventions: Impaired Gas Exchange for Pulmonary Tuberculosis

1. Provide a comfortable position, usually with the head of the bed elevated. Return to the affected side. Encourage clients to sit as much as possible.
Rationale: Increasing maximal inspiration, enhance lung expansion and ventilation on the side that does not hurt.

2. Observation of respiratory function, record the frequency of breathing, dyspnea or changes in vital signs.
Rationale: Respiratory Distress and changes in vital signs may occur as a result of physiological stress and pain can indicate the occurrence syock or in connection with hypoxia.

3. Explain to the client that it was carried out to ensure safety.
Rationale: Knowledge of what is expected to reduce anxiety and develop the client's adherence to the treatment plan.

4. Explain to the client about the etiology / precipitating factors or the presence of congested lungs collapse.
Rationale: Knowledge of what is expected to develop the client's adherence to the treatment plan.

5. Keep calm behavior, help the patient to self-control circuitry using breathing more slowly and deeply.
Rationale: Helps clients experiencing physiological effects of hypoxia, which can manifest as fear / anxiety.

6. Collaboration with other health team:
By physicians, radiology and physiotherapy.
Giving antibiotics.
Examination of sputum culture.
Consul thorax X-ray.
Rationale: Evaluating client improvement of lung development.
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