Penatalaksanaan Nebulizer dan Active Cycle of Breathing Technique (ACBT) untuk Membantu Mengeluarkan Sputum pada Kasus Penyakit Paru Obstruktif Kronis di Rumah Sakit Paru Dungus Madiun

NEBULIZER MANAGEMENT AND ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) TO HELP ISSUES SPUTUM CHRONIC OBSTRCTIVE PULMONARY DISEASE CASE IN HOSPITAL PULMONARY DUNGUS MADIUN Background: Chronic Obstructif Pulmonari Disease (COPD) is a chronic lung disease that is progressive, the disease is characterized by shortness of breath, cough with phlegm sustainable Aim: To find out the benefits of nebulizer, active cycle of breathing technique in case of Chronic Obstructive Pulmonary Disease. Objectives: after therapy 3 time there is a decline in the degree of shortness of breath T1:4 to T3:3, the increasing expansion of the thoracic cage in the axilla T1:0,5 cm to 1,5 cm, ICS 4 T1:0,5 cm to 1,5 cm, processus xypoid:1 cm to2 cm, and there ia an increase in the ability of functional activities T1:3 to T3:2. Conclusion: Provision modality Nebulizer, Active Cycle of Breathing Technique can reduce breathlessness, increase the expansion of the thoracic cage, and improve functional activitie