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    Clinical Pathway: Pediatric Tuberculosis RSUP Dr. Sardjito Yogyakarta

    Uploaded by

    Yusrina Adani
    This clinical pathway outlines the 4 day treatment plan for a pediatric tuberculosis patient admitted to RSUP Dr. Sardjito Yogyakarta hospital. The plan includes medical assessments and investigations to confirm the diagnosis, nutritional support and monitoring of vital signs, counseling for the patient and family, and a medication regimen of anti-TB drugs. The expected outcome is that the diagnosis is clearly defined and the patient has access to adequate long-term treatment and management to prevent further transmission.

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    © All Rights Reserved
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    Clinical Pathway: Pediatric Tuberculosis RSUP Dr. Sardjito Yogyakarta

    Uploaded by

    Yusrina Adani
    25 views2 pages
    This clinical pathway outlines the 4 day treatment plan for a pediatric tuberculosis patient admitted to RSUP Dr. Sardjito Yogyakarta hospital. The plan includes medical assessments and investigations to confirm the diagnosis, nutritional support and monitoring of vital signs, counseling for the patient and family, and a medication regimen of anti-TB drugs. The expected outcome is that the diagnosis is clearly defined and the patient has access to adequate long-term treatment and management to prevent further transmission.

    Original Description:

    clinical pathway tuberculosis

    Original Title

    2. CP TB Pediatric

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    This clinical pathway outlines the 4 day treatment plan for a pediatric tuberculosis patient admitted to RSUP Dr. Sardjito Yogyakarta hospital. The plan includes medical assessments and investigations to confirm the diagnosis, nutritional support and monitoring of vital signs, counseling for the patient and family, and a medication regimen of anti-TB drugs. The expected outcome is that the diagnosis is clearly defined and the patient has access to adequate long-term treatment and management to prevent further transmission.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    25 views2 pages

    Clinical Pathway: Pediatric Tuberculosis RSUP Dr. Sardjito Yogyakarta

    Uploaded by

    Yusrina Adani
    This clinical pathway outlines the 4 day treatment plan for a pediatric tuberculosis patient admitted to RSUP Dr. Sardjito Yogyakarta hospital. The plan includes medical assessments and investigations to confirm the diagnosis, nutritional support and monitoring of vital signs, counseling for the patient and family, and a medication regimen of anti-TB drugs. The expected outcome is that the diagnosis is clearly defined and the patient has access to adequate long-term treatment and management to prevent further transmission.

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    © All Rights Reserved
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    Pediatric Tuberculosis

    RSUP Dr. Sardjito Yogyakarta


    No. Dokumen

    No. Revisi

    Halaman
    /2
    Disusun oleh
    Diperiksa oleh
    SMF KESEHATAN ANAK
    DIR. MEDIK & KEPERAWATAN
    Ditetapkan
    Direktur Utama,

    RSUP Dr. Sardjito


    Tanggal Terbit

    Clinical
    Pathway

    1 November 2014
    Dr. Mochammad Syafak Hanung, SpA
    NIP. 196010091986101002

    Patient name:
    Age: ... year ...month
    Admission diagnosis:

    Ward:
    Class:
    ..
    III / II / I / VIP
    Aktivitas pelayanan
    Day 1
    DIAGNOSIS
    1. Medical assessment Visite
    a. Anamnesis

    b. Physical
    examination

    c. Specific related to
    organ
    2. Medical investigation

    Body weight:
    Body height:
    MR
    .. kg
    cm No
    ICD-10:
    Length of stay: 4 days
    ..
    Admission:. / .../ ... Discharge:. .. / /
    Time : ___ . ___
    Time: ___ . ___
    Day 2
    Day 3

    Length of stay:
    days
    Day 4

    Contact TB person
    Loss weight gain
    Fever > 2 weeks
    Cough > 3 weeks
    Specific: ......
    ......
    Nutritional status
    Lymphadenophaty
    Bone/joint edema
    ..
    ...............................
    Tuberculin test
    Induced sputum
    Chest x-ray AP +
    Gastric aspiration
    right lateral
    Effusion
    aspiration
    Smear test
    MTb culture
    Needle biopsy
    Histology
    assessment

    NURSING CARE
    1. Nutritional assessment
    2. Vital sign monitoring

    3. Personal hygiene

    DIET AND FLUID REQUIREMENT


    1. Enteral feeding
    Oral:.

    Induced sputum
    Gastric aspiration

    Induced sputum
    Gastric aspiration

    Lumbal puncture
    Smear test
    MTb culture

    Smear test

    Oral:... Oral:.

    Oral:.
    1

    2. Parenteral feeding

    3. Extra meal
    4. Fluid

    NGT:.
    .
    .
    .
    .
    Oral:.
    IV:.

    ACTIVITIES
    1. Fall risk management .
    2. Transmision risk
    .
    management
    3.

    CONSULTATION AND TEAM COMMUNICATION


    1. Consultation to
    .
    2. Referring to
    .
    PSYCHOSOCIAL COUNSELING
    1. Patient
    .
    2. Family
    .
    MEDICATION
    1. Anti TB regimen
    (2RHZ/4RH)

    NGT:..

    Oral:..
    IV:..

    NGT:.
    .
    .
    .
    .
    Oral:.
    IV:.

    .
    .

    .
    .

    .
    .

    .
    .

    .
    .

    .
    .
    Rifamicin: ....

    INH:

    ..
    .

    NGT:.
    .
    .
    .
    .
    Oral:.
    IV:.

    2. Steroid
    OUTCOME

    EDUCATION
    Discharge Plan

    Diagnosis is defined
    Adequate nutrition
    Anti TB available
    Longterm medication

    Varians
    Nurse
    Diagnosis
    ...
    Doctors
    ...
    Resident
    ...
    ...
    Verificator
    ...

    ICD 10

    DOTS registration
    Routinely visit
    Transmission
    Treatment and side effect

    Procedure
    Visit
    Induced sputum
    Gastric aspiration
    Effusion aspiration
    Needle biopsy
    Counseling

    ICD 9-CM

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