Documente Academic
Documente Profesional
Documente Cultură
PULMONARY TUBERCULOSIS
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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
Patients wife
: We have to go to the doctor right now, youre cough is still not healed..
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
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
Nurse 1
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
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
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
: 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
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
Patient
: Good Evening
Nurse 2
Patients son
Nurse 2
: Your father is fine.. but he must get intensive care right now.. because
his sickness is seriously danger
Patients son
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
: Its done.. And now I will give consoling to Mr. Ahmad, Ms. Sukinem
and Roni about Universal Precaution.
Patients son
Nurse 2
Patients son
Patients wife
nurse..?
Nurse 2
Patients son
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
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
Nurse 2
: Thats great if you understand.. Mr. Ahmad must take a rest soo excuse
me.. Good evening.
Patients wife
: Thank you
Patient
: Yes its me
Nurse 3
Patient
: Allright
: I finish taking your blood sample.. hows do your fell right now? Its
still hurt?
Patient
Nurse 3
: The result will cleared its about 1 hour.. the doctor will give you the
explanation about the result.. Excuse mee..
Patient
Nurse 3
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
Patients wife
: Morning doc
Dr. Yan
Patient
: Yes doc.
Dr. Yan
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
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
.
(Nurses Room)
Dr. Yan
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
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
Pharmacist
Patients son
Pharmacist
Patients son
: yes
: 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
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
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
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
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