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Name : Dara Ayu Tri Prasasti

Class : 3B / S1.Keperawatan

Nim : 201902056

Make observation report about your patient.

Observation of cases of patients with pulmonary tuberculosis.

A 38 year old female patient named Mrs. I was admitted to the internal medicine ward with

the chief complaint of shortness of breath. From the results of TTV examination observations

obtained BP: 140/80 mmHg, N: 86x / minute, S: 37.8C, RR: 28x / minute. The patient also

complains of coughing, thick phlegm (secretions). Physical examination revealed ronchi

breath sounds, asymmetrical chest movements, and chest retraction, which seemed to require

more effort to breathe. Chest X-ray showed fluid infiltrates in both lobes of the lung.

Currently the patient is receiving 4 lpm nasal canule oxygen therapy, and a ventolin nebulizer

2x / day.

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