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ROLE PLAY

PULMONARY TUBERCULOSIS
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Baiq Dena Yuni Parmita


Dita Oktamasya Putri
Husna Ardiana
Lalu Alan Dzikrul Haqqi
Muh. Syahrir Ramadhan
Ni Putu Suartini
Rizki Utomo Aji Pujo P.
Wira Bakti

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Patient (Mr. Ahmad)


Patients wife (Mrs. Sukinem)
Patients son (Mr. Roni)
Nurse 1 (Ms. Liana)
Nurse 2 (Ms.Zahira)
Nurse 3 (Mr. Annas) + Narrator
Doctor (dr. Yan)
Pharmacist (Ms. Yana)

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One day at the morning at the simple house that contains 3 family members, theres
sounding persistent coughs. It turn out that sound from patriarch on that family.
Patient

: Uhuk..Uhuk, .. (grab his chest)

Patients wife : whats wrong dad?


Patient

: uhuk.. it hurts.. uhuk my chest mom

Patients wife

: We have to go to the doctor right now, youre cough is still not healed..

Suddenly fathers have spotted a blood in his hands.


Patients wife

: Oh my god.. why theres a blood in your hands.. Quickly we have to go


to hospital !

Finally her wife took him to IGD RSUP NTB.. In there, patient has diagnosed Pulmonary
Tuberculosis and hospitalization at Bougenville room. In the Bougenville room theres a nurse
doing anamnese.
Nurse 1

: Good afternoon, Let me introduce my self, my name is Liana. I am the


nurse that job in this afternoon. To fill up the data on your status.. I will
take many question for you like your identity and hows your feeling right
now.. Are you willing sir?

Patient

: Its ok miss, but you can ask to my wife because I wanted to take a
rest.

Nurse 1

: All right.. Excuse me would you like to tell me the full name of your
husband?

Patients wife

: Ahmad Jumadin

Nurse 1

: How old is he? Where do you live? And what hes job?

Patients wife

: 50 years old, at Dasan Tereng Village, Narmada, hes job as driver


public transport

Nurse 1

:Can you tell me how is Mr. Ahmad has taken to hospital ?

Patients wife

: Actually, my husband had got cough its about 4 month. First, its just
ordinary cough. But 2 weeks ago his cough get severe, more over in the
morning.. and this morning suddenly his cough spulttering blood and I
bringed him to this Hospital. Doctor said my husband diagnosed get
Pulomonary Tuberculosis.

Nurse 1

: Is your husband is smoking?

Patients wife

: Yes it is..

Nurse 1

: Is there is in your family have a same sicknes just like Mr. Ahmad
do??

Patients wife

: I dont know.. because there is no one in my family got sick that made
us hospitalized.

Nurse 1

: Ooo.. is there any other complaint Ms..?

Patients wife

: Hmm.. when he got cough.. my husband is rarely to eat and feel sick

Nurse 1

: All right.. First ill check the blood pressure your husband

Patients wife

: Okay

(The nurse doing an exam)


Nurse 1

: its finish Ms.. The result is 110/70 mmHg.. its still normal.. but please
suggest your husband eating little but often.. to make his body not to limb.
At 04.00 pm I will bring the medicine that make his sickness and bloody
cough healed. Is there any question Ms..??

Patients wife

: nope,, nothing

Nurse 1

: All right then.. Excuse me and good afternoon.

Nurse 1 back to nurse room and give instruction for Nurse 2 to give Ranitidin and Kalnex
injection for Mr. Ahmad and also give conseling for Mr. Ahmad Family about universal
precaution to prevent from infection.
At 03.55 pm
Nurse 2

: Excuse me, good evening Mr. Ahmad

Patient

: Good Evening

Nurse 2

: My name is nurse Zahira,, I have been instructioned from nurse Liana to


give you medicine that make your sickness and bloody cough healed. And
also give conseling for Mr. Ahmad Family about universal precaution to
prevent from infection.

Patients son

: Ookee.. My name is Roni.. I am Mr. Ahmad son.. Hows my father


condition?

Nurse 2

: Your father is fine.. but he must get intensive care right now.. because
his sickness is seriously danger

Patients son

: Ooo.. is that medicine will be given by injection?? (pointing spuit


that fill up with medicine)

Nurse 2

: yess this medicine will be given across infus hose.. thats make not
feel hurt.. Are you willing sir??

Patient

: Yes.. Please do it

And then Mr. Ahmad get medicine from nurse..


Nurse 2

: Its done.. And now I will give consoling to Mr. Ahmad, Ms. Sukinem
and Roni about Universal Precaution.

Patients son

: What is Universal Precaution?

Nurse 2

: First of all.. I will tell you about Pulmonary Tuberculosis. Pulmonary


Tuberculosis is spread through the air from one person to another. The
Pulmonary Tuberculosis bacteria are put into the air when a person with
active Pulmonary Tuberculosis disease of the lungs or throat coughs,
sneezes, speaks, or sings. People nearby may breathe in these bacteria and
become infected. But, Pulmonary Tuberculosis is not spread by sharing
food or drink, touching bed linens or toilet seats, sharing toothbrushes, and
kissing. Its because Ms. And Roni lived in one house.. so the risk to get
infection is big. So I suggest Ms. And Roni to medical checkup to
clarification that you got Pulmonary Tuberculosis or not.

Patients son

: Oh My god.. so we easily get infection.. Im so afraid mom.. lets check


up..

Patients wife

: We have to check up tomorrow son.. Where we can do check up

nurse..?
Nurse 2

: You can direcly go to Lungs Poly on the first floor.

Patients son

: How to prevent it from this sickness?

Nurse 2

: To prevent from the infection.. first you can use a mask, even patient or
the family, but the mask must single use only. And then, if Mr. Ahmad

wanted to cough you have to close your mouth and go to another direction.
More importantly, Bacteria Pulmonary Tuberculosis can gone after hit
direct sunlight. So I recommended you at the morning you have to open
the curtain to make the sunlight go into this room.. Is there any question?
Patients son

: If my fathers cough,, where did i throw his sputum??

Nurse 2

: To prevent from the infection.. Mr. Ahmad have his own place to get
rid off his sputum.. like a plastic bag that fill with sand or ground. Did you
understand? Or is there any question?

Patients son

: Nothing nurse,, tomorrow I will make a place for my fathers sputum

Nurse 2

: Thats great if you understand.. Mr. Ahmad must take a rest soo excuse
me.. Good evening.

Patients wife

: Thank you

The Next day


(Inpatient ward)
Nurse 3

: Good morning,, is that you Mr. Ahmad?

Patient

: Yes its me

Nurse 3

: I am the nurse that doing a job in this morning.. My name is


____________ I was assigned to take the sample of your blood to make
sure your condition right now.. its about 10 minutes i give the injection..
you have to endure it sir.. Are you willing sir?

Patient

: Allright

(The nurse taking the blood sample)


Nurse 3

: I finish taking your blood sample.. hows do your fell right now? Its
still hurt?

Patient

: nope.. its gone

Nurse 3

: The result will cleared its about 1 hour.. the doctor will give you the
explanation about the result.. Excuse mee..

Patient

: Okee.. Thank youu.

Nurse 3

: Your welcome.. Good morning..

After few hours the result finished and has been sent into Bougenville,, After that the doctor is
come and wanted to check the patient accompanied with nurse..
Dr. Yan

: Good morning Mam, Sir..

Patients wife

: Morning doc

Dr. Yan

: Im so sorry for being late.. I have been confirmed about your


condition,, right now are you felling sick, limb, and bloody cough sir?

Patient

: Yes doc.

Dr. Yan

: Okay,, I will check first...

(checkup the pasien)


Dr. Yan

: Mmmm, okay.. nurse.. where is the lab result of Mr. Ahmad?

Nurse 3

: here it is.

Dr. Yan

: listen Mam.. Mr. Ahmad HB is low.. and the leukosit is high,, there a
lot of sputum in Mr. Ahmad so we must doing an intensife care again.. I
suggest that Mr. Ahmad must eat properly to make his body not limb..
Now I will recipe the medicine and the antiPT, cure sickness, and
vitamin

Patient

: Oke doc.. Thank you

Dr. Yan

: if that so, excuse me ... later a nurse who will deliver the prescription .. please
you redeem it at a pharmacy later .. excuse me

Patients wife

: okay doc, thank you

Doctors and nurse left the room to check other patients

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(Nurses Room)
Dr. Yan

: Nurse, this are prescription should be administered for Mr. Ahmad,


asked his family to immediately redeem it at the pharmacy.

Nurse 3

: Yes doc.

Dr. Yan

: well then, excuse me Ill go to poly first. If there any problem with the
patient, contact me immediately.

Nurse 3

: yes doc. please.

The nurse then go to Mr. Ahmads room and ask his family to redeem the prescription to make
Mr. Ahmad get better. Mr. Ahmads son immediately get the drug at Hospital pharmacy.
Patients son

: Good afternoon miss

Pharmacist

: Good afternoon, may I help you?

Patients son

: I want to redeem this prescription.

Pharmacist

: Please wait for a while sir.

Patients son

: yes

Pharmacist immediately prepare prescription medications.


Pharmacist

: Mr. Ahmad???

Patients son

: Yes miss,

Pharmacist

: these are the anti-PT drug sir. But beforehand I will explained about this
medicine for you.

Patients son

:Yes miss, I still not understand about the use of this medicine.

Pharmacist

: okay sir, the purpose of this medicine are to heal, prevent death, prevent
of recurrence, and prevent of resistance of this medicine itself. This
treatment are given in two stage, first Intensive stage for 2-3 months and
advanced stage for 4-7 months.

Patients son

:why it must give in two stage, what is the different?

Pharmacist

:the different are the first stage purpose to kill PT bacteria that active and
developed. While the second stage are to kill PT bacteria that still hidden
and grow slowly

Patients son

: Aa.. If that so, so he need take this medicine every day. When this
medicine must be taken?

Pharmacist

: yes sir. This medicine taken three times a day, three tablets at once. Do
you have another questions?

Patients son

:what time it must be taken?

Pharmacist

:it must take every 8 hours to make the medicine effective. For example
at 07.00 AM then 3.00 PM, and 11.00 PM

Patients son

: and this must take constantly for 2-3 months?

Pharmacist

: yes sir, if there any side effect happen, you can ask us again in here.
Coincidentally in here we gave free PT medicine and free consultation.

Patients son

: Aaa... So is this free?

Pharmacist

:yes sir, the most important this medication must take regularly. Hope he
will get well soon.

Patients son

:thanks

And then Mr Ahmads son get back to the room. He explained about the medicine given by the
doctor to his father and the other family members in order to give the medicine regularly. After
taking the medicine for 3 months.. now Mr. Ahmad condition is going well,, but he must always check his
condition and continuesly take the medicine until all PT bacteria all gone.

THE END

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