Case Study Pulmonary Tuberculosis

In: Science

Submitted By olimpia
Words 2938
Pages 12
Nursing Management 1





PULMONARY TUBERCULOSIS CATEGORY I, PLEURAL EFFUSION RIGHT ON TREATMENT, STATUS POST CHEST TUBE THORACOTOMY INSERTION





Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion





Bumolo, Olimpia T.

Torres, Pauline Bianca G.





Our Lady of Fatima University, Quezon City







Nursing Management 2





Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion

Private P, A.B., a 25 year old male, single. He finished second year college (Bachelor of Science in Education). He lives in Barangay Monbon Irosin, Sorsogon City. Five months Prior to Admission, patient began to experience dry cough, general body malaise, back pain, low grade fever in the afternoon, hoarseness of voice and restlessness. At first, patient took solmux and amoxicillin three times a day for three days. The signs and symptoms still persisted. He sought consult to the Commission Army Station Hospital, Lucena City and underwent another chest x-ray and had nebulization to liquefy secretions. He then was advised to go home. His immediate superior (official) advised him to go to the Armed Forces of the Philippines Medical Center due to unavailability of a pulmonologist in the area. He then was transported via ambulance and was seen in Emergency Room and chest x-ray was done and admitted at seven Delta Pulmonary Ward with an a diagnosis of pulmonary tuberculosis category I, pleural effusion right on treatment, status post chest thoracotomy tube insertion. Copius secretions obstruct the airways in many patients with tuberculosis and interfere with adequate gas exchange, Bare…...

Similar Documents

Case Study

...Yin (2005) suggested that researchers should decide whether to do single-case or multiple-case studies and chose to keep the case holistic or have embedded sub-cases. This two-by-two combination can produce four basic designs for case studies. When selecting a case for a case study, researchers often use information-oriented sampling , as opposed to random sampling [3]. This is because an average case is often not the richest in information. Extreme or atypical cases reveal more information because they activate more basic mechanisms and more actors in the situation studied. In addition, from both an understanding-oriented and an action-oriented perspective, it is often more important to clarify the deeper causes behind a given problem and its consequences than to describe the symptoms of the problem and how frequently they occur. Random samples emphasizing representativeness will seldom be able to produce this kind of insight; it is more appropriate to select some few cases chosen for their validity. But this isnt always the case. Three types of information-oriented cases may be distinguished: Extreme or deviant cases Critical cases Paradigmatic cases. [edit]Critical case A critical case can be defined as having strategic importance in relation to the general problem. For example, an occupational medicine clinic wanted to investigate whether people working with organic solvents suffered brain damage. Instead of choosing a representative sample among all those...

Words: 1244 - Pages: 5

Case Study Pulmonary Tuberculosis

...Nursing Management 1 PULMONARY TUBERCULOSIS CATEGORY I, PLEURAL EFFUSION RIGHT ON TREATMENT, STATUS POST CHEST TUBE THORACOTOMY INSERTION Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Bumolo, Olimpia T. Torres, Pauline Bianca G. Our Lady of Fatima University, Quezon City Nursing Management 2 Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Private P, A.B., a 25 year old male, single. He finished second year college (Bachelor of Science in Education). He lives in Barangay Monbon Irosin, Sorsogon City. Five months Prior to Admission, patient began to experience dry cough, general body malaise, back pain, low grade fever in the afternoon, hoarseness of voice and restlessness. At first, patient took solmux and amoxicillin three times a day for three days. The signs and symptoms still persisted. He sought consult to the Commission Army Station Hospital, Lucena City and underwent another chest x-ray and had nebulization to liquefy secretions. He then was advised to go home. His immediate superior (official) advised him to go to the Armed Forces of the Philippines Medical Center due to unavailability of a pulmonologist in the area. He then was...

Words: 2938 - Pages: 12

Pulmonary Embolism

...Pulmonary embolism is a serious and potentially life threatening condition. When the blood supply to the lungs gets clogged with a clot pulmonary embolism can happen. It can happen even in healthy people. Sudden blockage of blood vessel artery in the lungs can cause pulmonary embolism. Usually it is a blood clot. Most cases the clots can be small but it can still damage the lungs. If the clots are big enough it can be deadly. Quick treatments will reduce the risk for future problems (Lung disease, 2011). Most common of the symptoms are sudden shortness of breath which are a sharp chest pain that is worse when you cough or take a deep breath, a cough that brings up pink and foamy mucus (Lung disease, 2011). Anxiousness, sweating, light headed, tachycardia or palpitations are some other general symptoms that can occur (Lung disease, 2011). Most cases pulmonary embolism is caused by a clot that breaks loose and travels to the lungs. Having clots in deep veins like in deep vein thrombosis can cause pulmonary embolism (Lung disease, 2011). More than 300,000 people are affected by pulmonary embolism each year (Lung disease, 2011). Any diseases that can form a clot in the body can lead to pulmonary embolism. Some of the factors that can increase the risk for pulmonary embolism includes, being inactive for long periods of time. This mainly happens after surgery or major illness, sitting in long flights or cars (Lung disease, 2011). As mentioned in the article of lung diseases...

Words: 916 - Pages: 4

Case Study

... their benefit and neglect the working environment of the workers, as a result, many of the textile workers at different level face various health problems. A case controlled study conducted during 2003 to identify the prevalence of Byssinosis among 761 male textile workers in Pondicherry showed that the prevalence of Byssinosis was more among males who were aged 30 years and above who worked for more than or equl to 10 years in spinning and weaving section. The study concluded that by reducing the dust level in worksite and by reducing smoking, the risk of developing Byssinosis could be minimized. A quasi-experimental experimental study conducted in 2007 by Jessica S Kale in Belgaum, Karnataka, with an objective to assess the knowledge and practice of preventing occupational health hazards among textile weavers with a sample size of 55 through implementing planned teaching program. Result showed that 11% (6) had good knowledge during pre test, has improved to 100% (55) during post test. The researcher further recommended that same study can be conducted in other setting. In a new annual report of ILO 2003, shows that globally the accidents and illnesses annually take some 2 million lives which costs the global economy a staggering 1.25 thousand billions(trillion). In a recent study conducted by ILO during 2003 showed that Some 160 million people on this planet have work-related diseases, and the number of work accidents- fatal and non-fatal, is at...

Words: 3211 - Pages: 13

Pulmonary

...Pulmonary Embolism Pulmonary embolism is an occlusion of the pulmonary artery or one or more of its branches by matter carried in the blood current. The matter is called “embolus”. Which is most commonly a blood clot; However, it maybe a fat particle, air, amniotic fluid, tumor or other tissue fragment, parasite, or foreign body. PE refers to pulmonary arterial occlusion by a blood clot (thromboembolism), unless it is qualified by other causes such as fat embolism, and air embolism. Pulmonary embolism result from clots formed in the veins of the calf, legs, and pelvis that can radiate to the lungs. Signs and symptoms of PE include: cardiac arrythmias, dyspnea, chest pain, tachycardia, dizziness/fainting, hemoptysis, coughing, anxiey, tachypnea, and pleuritic pain. Diagnosis is based on serum lab results, EKG, Spiral chest CT, Ultrasound, Chest xray, and Arterial blood gases. Subjective Data: Patient Profile and Medical History E. R. a 40 year old African American male presented to the Emergency room with a history of Hypertension, Pleurisy, and Pulmonary Embolism to Left shoulder post rotator cuff surgery times 4 years ago with treatment of Coumadin times 6 months. History of Vasectomy in 1999. Primary Diagnosis: Pulmonary Edema Recent Development and Current complaints: of low grade fever, SOB, Pleuritc left side chest pain, and nonproductive cough times 2 days. Objective Data: Physical Examination: B/P- 153/99 HR-108 Resp-22 Temperature- 100.3...

Words: 595 - Pages: 3

Chronic Obstructive Pulmonary Disease

...Chronic Obstructive Pulmonary Disease | INTRODUCTION We are doing a case study on medical, nursing, pharmacological management of COPD (Chronic Obstructive Pulmonary Disease). We took a COPD patient and assessed the patient for clinical manifestation, the medical, nursing, pharmacological care given to the patient. In our case study we will include the care Hawwa is receiving now and the care we can add to daily routine to help her recover faster. Hawwa Ismail is admitted to Medical ward with diagnosis of COPD. She is 145cm tall, slim, with dark complexion. She is 79 years old. She said that she has difficulty in breathing, she cannot sleep in night time ,she do not feel like eating food and she was having cough. Physical assessment revealed BP 138/47mmHg right arm in lying position, pulse 84 regular and strong, and breathing pattern was irregular labored, tachypnic at 40 breathes per minute,SpO2 99% in room air and temperature 360C (96.80F).Her facial color and lips are ruddy, but nails are clean ,pale and clubbed. She has a little barrel chest, uses accessory muscle to breathe. She has prolonged expiration. While auscultating lungs, diminished breath sound in most of the lower lobes and a small wheezing sound in right lower lobe was noted. PERSONAL DETAILS PATIENT NAME: Hawwa Ismail ADDRESS:Iruvaige/R.Inguraidhoo GUARDIAN: NAME: Abdul HameedHussain CONTACT NO: 7772099 AGE: 79yrs SEX: female NATIONALITY: Maldivian LANGUAGE: Dhivehi RACE: Asian...

Words: 3574 - Pages: 15

Case Study

...Clinical Case Study Assignment 2014 Jennifer Ahonen Cambrian College a00050951 BSN 2144: Nursing Practice Frances Carvalho & Jillian Smythe March 21, 2014 Clinical Case Study Assignment 2014 The purpose of this paper is to utilize the data collected in the Gordon’s Functional Health Patterns Assessment Tool (Appendix A). After data collection, it will be analyzed and a priority nursing diagnosis will be used to make a care plan (Appendix B). Patient X is an 82 year old male, who presented to the emergency department from his home at Extendicare York with a fever of 38.9 degrees Celsius, a blood pressure of 75/40 mm Hg, blood glucose level of 3.7, diaphoretic and a three day history of diarrhea, nausea and generalized weakness. The admitting diagnosis for this 82 year old male was Pneumonia. Pneumonia is an acute inflammation of the lower respiratory tract due to an infectious agent that impairs gas exchange due to alveolar edema and congestion (Thiem, Heppner, & Pientka, 2011). There are many factors that predispose individuals to pneumonia; however, in the case of this patient the predisposing factors are age and the presence of chronic diseases. The patient’s complete history and demographics can be found in Appendix A. The classic clinical manifestations of pneumonia consist of a temperature above 38 degrees Celsius, diaphoresis, cough, and shortness of breath, chest pain, tachycardia, purulent sputum, fatigue, nausea, vomiting, and diarrhea (Thiem...

Words: 1763 - Pages: 8

Case Study

...Anatomy/Physiology PBL #1 The Moon Is Waining Its 2:30 in the morning, and you are working in the local ER. All of the sudden the doors bust open, and two paramedics rush you a patient. He is 37 year old, about 6’2”, has a very athletic past, and his is African American. Immediately you notice his skin is yellowish in color. Also while peering at his eyes, you notice they are yellow. Unfortunately due to his severe chest pain he can’t remember his medical history. All he can remember is that he used to get sick a lot. He also is very dizzy and is breathing very hard. You decide to take a chest x-ray to look for Pulmonary arterial hypertension and it comes back abnormal (means he has it). As he passes out from the symptoms he says “ Be quiet Kathie Lee and Hoda, you are just like Eli Manning…worthless.” What a PBL needs: 1. Your name, date etc. 2. What is your diagnosis? 3. How do you know it’s the right diagnosis? 4. What tests did you use to diagnose? 5. What is your prognosis? 6. What references you used to find your reasoning. 7. DO NOT USE WIKIPEDIA OR EMEDICINE OR YOU WILL GET A ZERO 8. For extra credit, identify the real person portrayed in the above fictional story. You are welcome to use any resource you can find, and I will answer any questions you may have for the patient....

Words: 250 - Pages: 1

Pulmonary Fibrosis

... diagnosis of disease and five year survival, if the patient receives a transplant (Ding, Luckhardt, Hecker, Zhou, Antony, deAndrade & Thannickal, 2011). Pathophysiology Pulmonary fibrosis is a disease of the lung tissue. Tissue in the lung is made up of connective tissue that has become fibrotic. The cause of pulmonary fibrosis is unknown, so the disease is referred to as idiopathic pulmonary fibrosis. Idiopathic means from unknown cause. Idiopathic pulmonary fibrosis occurs when scar tissue is formed after a pulmonary disease processes occur which causes the fibrosis of the lung tissue. Pulmonary fibrosis has two events happen when the fibrosis starts with repeat of infection or exposure to agents cause damage to the lung, then mutation of the gene in lung change causing pulmonary disease to start inflammation process. Example of these pulmonary disease processes are adult respiratory distress syndrome, tuberculosis, and some autoimmune disorder such as rheumatoid arthritis, progressive systemic sclerosis, and sarcoidosis. Research has shown that environment exposure can cause the fibrosis in the lung, exposure to dust, asbestos, farming environment, wood dust, and other inhaled toxic agents (Lindell, RN PhD, Kaminski, MD, Gibson, MD, Lareau, RN MS, Fahy, RN MS & Swigris, DO MS, 2011). Clinical signs/symptoms Pulmonary changes in the lungs decrease forced vital capacity, increase shortness breath, and contributes to a non-productive cough. It’s......

Words: 1450 - Pages: 6

Chronic Obstructive Pulmonary Disease

...Chronic Obstructive Pulmonary Disease is commonly called COPD. COPD is a widely growing cause of disability and mortality in the world every day. COPD was the 6th leading cause for 4% of deaths in the world in 1990 and by 2020 it is projected to increase to 7% and move up to the 3rd cause for deaths in our world. (Lundback, 2003) Causes of COPD can include exposure to indoor and outdoor pollutions, occupational hazards, infections and also with the leading cause of cigarette smoking. With the correct treatment it can be lived with. COPD is a preventable and treatable disease with some effects that may aid to severity in some patients and is not reversible. This is a lung disease that leads to harder breathing. There are two forms of COPD including Chronic Obstructive Bronchitis and Emphysema. Its pulmonary component is characterized by the limit of airflow that is not reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to gases. Airflow is limited because of a mixture of small airway disease, parenchymal destruction or emphysema, and in many cases because of increase in the airway response or asthma. After witnessing a grandmother with COPD having trouble breathing on her own after 2 weeks out of heart surgery and still on the ventilator only through an incision in her neck now, I see the severity of COPD first hand. The risk of getting COPD varies in many ways including genetics, tobacco...

Words: 671 - Pages: 3

Pulmonary Tuberculosis

...Pulmonary tuberculosis Pulmonary tuberculosis (TB) is a contagious bacterial infection that involves the lungs. It may spread to other organs. Causes Pulmonary tuberculosis (TB) is caused by the bacterium Mycobacterium tuberculosis (M. tuberculosis). You can get TB by breathing in air droplets from a cough or sneeze of an infected person. The resulting lung infection is called primary TB. Most people recover from primary TB infection without further evidence of the disease. The infection may stay inactive (dormant) for years. In some people, it becomes active again (reactivates). Most people who develop symptoms of a TB infection first became infected in the past. In some cases, the disease becomes active within weeks after the primary infection. The following persons are at high risk of active TB: * Elderly * Infants * People with weakened immune systems, for example due to AIDS, chemotherapy, diabetes, or medicines that weaken the immune system Your risk of catching TB increases if you: * Are around people who have TB (such as during overseas travel) * Live in crowded or unclean living conditions * Have poor nutrition The following factors can increase the rate of TB infection in a population: * Increase in HIV infections * Increase in number of homeless people (poor environment and nutrition) * The appearance of drug-resistant strains of TB Symptoms The primary stage of TB does not cause symptoms. When symptoms of pulmonary TB...

Words: 687 - Pages: 3

Case Study

...Case Study Patient age range: Mid 70’s Allergies: enalapril (hives); iodine containing compounds (hives) Diet: Regular Diet Activity: Skilled Therapy Mobility Group: Ambulate to bedside commode with assist of 2. Diagnosis: Arterial Occlusion; Thrombosed Popliteal Aneurysm (acute obstruction) Presenting Symptom(s): The patient’s chief complaint was left leg pain from the left knee down to the left foot. When asked the patient he was unable to appropriately respond to the question due to confusion. History of present illness: The patient is a male in his mid 70s. The patient presented with new onset left lower extremity ischemia. He was started on an IV heparin drip and transported to ED. He was found to have am occluded left popliteal aneurysm with occlusion of all tibial vessels. The patient was taken to the OR with vascular service for initiation of thrombolysis therapy. He is currently hospitalized for left lower extremity ischemia, angiogram, thrombolysis, bypass femoral popliteal thrombectomy, irrigation and debridement of wound, and a fasciotomy. Then, he was taken back to the OR for debridement of left anterolateral muscular compartment necrosis. This morning, he was noted to be “confused”. The patient was stable and oriented until at least yesterday evening. Per the primary team, he did not appear confused when seen at 6am. He was also noted to have a temperature of 37.4. He did not have any labs checked for 2 days, but this morning his...

Words: 3163 - Pages: 13

Obstructive Pulmonary Disease

... of dilation of bronchiles Clinical presentation: respiratory distress, pursed lips, use of accessory muscles. "The Pink Puffer" BRONCHITIS: Sputum productive cough for 3 months in 2 consecutive years Etiology: tobacco, pollution Pathogenesis: increased globlet cell hyperplacia creating mor mucus and musus plugs, fibrosis, Creation of airway disease via increased airway resistance and lower air flow in parenchyma and bronchioles BRONCHIOLITIS: Infalmmation Fibrosis *In small airways where there is increased disease causing airway resistance Etiology: Specific Agents causing disease: Acute viral disease( Paramyxoma virus) Mineral Dust(silica, asbestos) BRONCHIECTASIS: Abnormal dilitation of bronchi: inflammation with permanent destruction Recurrent or chronic inflammation with elastic changes changes in muscular wall layers of bronchioles with necrotizing pneumonias Specific etiologic agents: Staph. Aureus TB(mycobacterium tuberculosis) Atypical mycobacterium mycobacterium avium intracellulare(MAC) Viral-measles Histoplasmosis, coccidiomycosis Allergic Broncho Pulmonary Aspergillosis Kartageners Syndrome: Sinusitis, Situs inversus & infertility Disease associated with older population and males Association with alpha 1 antitrypsin, immunodeficiency and elevated IgE(immunoglobulin E) Bronchiectasis: related with alpha 1 anti-trypsin depletion immunodeficiency elevated Immunoglobulin E Cough foul smelling sputum shortness......

Words: 501 - Pages: 3

Case Study

...CASE STUDY REPORT FORMAT GUIDELINE Following is a suggested guideline for preparing your case study reports (remember to always use Harvard Business Style for all formatting and referencing as per the course outline): Cover Page (Include student names and student Ids) Executive Summary (If appropriate – should be written last to focus on key points/findings) Introduction Current Situation Analysis and pertinent Background including a synopsis of the relevant information from the case analysis tool short form. Body May include: • Target Market Identification • Market Needs • Forms of IMC in use • Analysis of Case • Key Issues/Goals • Recommendations Should include: • Decision Criteria • Assumptions • Data Analysis (analysis in appendix and summary info in body) • Preferred Alternative with rationale. • Justification/Predicted Outcome: It is important that all guesstimates or creative ideas be founded upon some marketing rationale and a solid understanding of the metrics related to the target market and anticipated financial changes/impact. Using target market analysis and education estimation of population, $, and units is appropriate. If you are not confident in your ability to do so…PLEASE FEEL FREE TO DISCUSS “HOW TO” as a team with the professor well in advance of your case presentation. Conclusion References Recommend that you source business journals, periodicals, and textual references as well as any online research. Make sure you......

Words: 284 - Pages: 2

Chronic Pulmonary Disease

...Chronic Obstructive Pulmonary Disease Health and Physical Education Chronic Obstructive Pulmonary Disease There are many kinds of chronic illness and each with it on characteristics, symptoms, causes, some chronic illness affect people of any age or ethnic background, and others are more likely to appear in a particular age or ethnic group. Some are present at birth while others develop later in life. Some chronic illnesses are caused by environmental factors such as exposure to pollutants. The definition of Chronic Obstructive Pulmonary Disease is one of the most common lung diseases which makes it difficult to breathe and causes damage to the lungs over many years, usually from smoking that leads to a combination of two diseases, Chronic Bronchitis and Emphysema. Chronic Bronchitis are airways which carry to the lings become inflamed and make a lot of mucus, and a long term cough with mucus. Emphysema involves destruction of the lungs over time, and the air sac are damaged and loses their stretch and less air gets in and out of the lungs. The lifestyles factors that leads to Chronic Obstructive Pulmonary Disease (COPD) is smoking, air pollution, genetics, age, occupational dust and chemicals. Smoking, COPD, and the immune system. “Although the immune system is designed to protect the body from harm, it may actually worsen the Chronic Obstructive Pulmonary Disease” according to University of...

Words: 867 - Pages: 4