Abstract:

To summarize pulmonary rehabilitation nursing for a patient with lumbar tuberculosis and complicated with cardiopulmonary dysfunction. For the patient with lumbar tuberculosis complicated by cardiopulmonary insufficiency，there were some difficulties in pulmonary rehabilitation nursing，such as restricted positioning，fluid overload，pain，sputum retention and respiratory muscle dysfunction. Interventions were taken，including optimized positioning to reduce spinal shear forces and improve ventilation，refined volume and pain management to decrease cardiovascular strain and prepare for pulmonary rehabilitation as a prerequisite，ultrasound-guided targeted airway clearance to enhance sputum removal and gas exchange；and advanced active respiratory techniques combined with axial-stabilized exercises to promote the coordinated reconstruction of respiratory and skeletal muscles. Following 17 days of specialized care，the patient successfully transitioned from ICU to continued rehabilitation.

Key words: Tuberculosis, Spinal, Heart Failure, Dyspnea, Drainage, Postural, Critical Care Nursing