Patient ID , Name : Neptali, 30th years old. Sansiro,ST.

Centro Name: MAKSUM

Abulug Cagayan city Student Master of Nursing

August 25th 2017 Medical Ward, STPH Tuguegarao City Diponegoro University

Predisposing factors
HIV, malnutrition, slums

Immunological decline

body response
mycobacterium invasion

Fever

http://www.medindia.net/healthnews/tuberculosis-news.asp excessive
sweating

Leukocyte Response PMN Neutrophils Phagocytes of bacteria

Deficient Fluid Volume

Inflammatory response

increased serotonin in T cells and fibrous

Increased tryptophan goblet cell work
the hypothalamus gland tissue enclose
level increases
macrophages and
tuberculosis bacilli

anorexia enter the central secret production

nervous system increases
fibrosis
loss appetite Imbalance needs
Metabolism anaerobe and oxygen supply stimulates cough
mechanism alveoli damage

Imbalanced Nutrition: Increased lactate acid Head ache stimulates cough

Less Than Body mechanism Impaired Gas
Requirements Exchange
ineffective Fatigue
Acute Pain
Ineffective Airway
Clearance

Primer infections

Medications programs
OAT

ineffective management of
family therapeutic regimens

Droop out/dropped
Risk of MDR ( Multi Drugs Resistance) medicine

www.thoracic.org/sections/about-ats/assemblies/mtpi/resources/istc-report.pdf. access ; September 17th 2017

https://www.cdc.gov/tb/publications/factsheets/testing/diagnosis.pdf.acces ; September 17th 2017

Patient ID , Name : Neptali, 30th years old. Sansiro,ST.Centro Name: MAKSUM

Abulug Cagayan city Student Master of Nursing

August 25th 2017 Medical Ward, STPH Tuguegarao City Diponegoro University
T. Heather Herdman, PhD, RN, FNI, and Shigemi Kamitsuru, PhD, RN, FNI, NANDA International Nursing Diagnoses: Definitions and
Classification 2018-2020, Eleventh Edition