Respiratory failure in massive tuberculosis hemoptysis

Tuberculosis is still one of the problems in the health sector that occurs even though control efforts with the DOTS strategy have been implemented since 1995. Hemoptysis is one of the complications of tuberculosis. Hemoptysis is an early sign of a basic disease that can cause asphyxia so it requires intensive care with prompt and appropriate treatment. A woman with a complaint of coughing up blood for 3 hours of 200 cc each coughing and experiencing shortness of breath and nausea, but no vomiting. The patient had a history of TB treatment in 2014 for 6 months. On physical examination, the patient was found to be weak, breathing rate was 24x / minute, pulse rate was 110x / minute, temperature was 36^oC, peripheral saturation was 96% with canal nasal O₂ and blood pressure was 110/60 mmHg. Examination of the neck and head was within normal limits. At thoracic examination there were symmetrical chest movements, sonor percussion in both hemitoraks, auscultation of the sound of bronchovesicular breath in both hemithorax, ronkhi in both hemitoraks, wheezing in the left hemitorax. Cardiac examination was within normal limits. Abdomen examination was within normal limits. Extremity examination was within normal limits. Based on the results of the physical examination, the patient was diagnosed as a tuberculosis case with a recurrence of massive hemoptysis.