Concept Map Tuberculosis

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Schiffman, George. (07, 2011). Tuberculosis. Retrieved from http://www.medicinenet.com/tuberculosis/page4.htm Tuberculosis. (01, 2013). Retrieved from http://www.mayoclinic.com/health/tuberculosis/DS00372/DSECTION=treatments-and-drugs Vyas, Jatin M. (11, 2012). Pulmonary Tuberculosis. Retrieved from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001141/

Schiffman, George. (07, 2011). Tuberculosis. Retrieved from http://www.medicinenet.com/tuberculosis/page4.htm Tuberculosis. (01, 2013). Retrieved from http://www.mayoclinic.com/health/tuberculosis/DS00372/DSECTION=treatments-and-drugs Vyas, Jatin M. (11, 2012). Pulmonary Tuberculosis. Retrieved from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001141/

IMPLEMENTATION
-Assess respiratory rate every 10-15 minutes
-Continuously note chest movement and use of accessory muscles during respiration -Auscultate breath sounds and note any areas with adventitious sounds, especially wet crackles -Document any respiratory secretions such as sputum: amount, character, and consistency -Keep patient in high Fowler’s position to allow optimum breathing -Check for obstructions or accumulation of sputum

-Ask patient level of discomfort/pain on a scale of 1-10
-Record medication administrations and if therapeutic effects are occurring -Describe procedures and treatment expectations
-Encourage patient to follow drug regimens

IMPLEMENTATION
-Assess respiratory rate every 10-15 minutes
-Continuously note chest movement and use of accessory muscles during respiration -Auscultate breath sounds and note any areas with adventitious sounds, especially wet crackles -Document any respiratory secretions such as sputum: amount, character, and consistency -Keep patient in high Fowler’s position to allow optimum breathing -Check for obstructions or accumulation of sputum

-Ask patient level of discomfort/pain on a scale of 1-10
-Record medication administrations and if therapeutic effects are occurring -Describe procedures and treatment expectations
-Encourage patient to follow drug regimens

PLANNING
-Goals include treating any abnormal results such as dyspnea, abnormal breath sounds, irritability, and reducing or eliminating sputum levels -Give patient therapeutic effects regarding abnormalities found with little or no side effects -Help patient in making lifestyle changes that include making a safer work and home environment and getting the people who have the most contact with the patient treatment PLANNING

-Goals include treating any abnormal results such as dyspnea, abnormal breath sounds, irritability, and reducing or eliminating sputum levels -Give patient therapeutic effects regarding abnormalities found with little or no side effects -Help patient in making lifestyle changes that include making a safer work and home environment and getting the people who have the most contact with the patient treatment TUBERCULOSIS

TUBERCULOSIS
DIAGNOSIS
-Ineffective airway clearance related to poor cough effort as evidenced by abnormal breath sounds and dyspnea -Risk for infection related to settled secretions as evidenced by wet adventitious lung sounds such as crackles, and excessive sputum -Deficient knowledge related to condition, treatment plan, self-care and discharge needs as evidenced by questions/requests for information, statements about the problem, and the development of preventable complications

DIAGNOSIS
-Ineffective airway clearance related to poor cough effort as evidenced by abnormal breath sounds and dyspnea -Risk for infection related to settled secretions as evidenced by wet adventitious lung sounds such as crackles, and excessive sputum -Deficient knowledge related to condition, treatment plan, self-care and discharge needs as evidenced by questions/requests for information, statements about the problem, and the development of preventable complications

ASSESSMENT
-Check for vitals; check for abnormal breath sounds, especially for wet crackles on inspiration...
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