AMS1

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Author:
alyn217
ID:
162836
Filename:
AMS1
Updated:
2012-07-17 11:43:09
Tags:
AMS1T1 TB
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Description:
TB
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  1. TB General info
    • Highly communicable
    • Airborne droplets (precautions!)
    • Droplets are airborne for minutes – hours
    • M. tuberculosis nuclei lodge in alveoli
    • Slow replication
    • Spread via lymphatic system
  2. SnSs of TB
    • Progressive fatigue & lethargy
    • Nausea, anorexia, weight loss
    • Low-grade fever
    • Night sweats (good indicator)
    • Cough w/mucoid, frothy sputum, can be blood-tinged
    • FLS (flu-like symptoms)
    • Pleuritic chest pain
  3. TB Diagnostic tests
    • TB Skin Test
    • CXR (Current standard, but not always definitive)
    • Bacteriologic studies to determine presence of tubercle bacilli
    • Quantepheron test
    • Sputum culture: acid-fast bacillus=positive. Has to be taken from deep lungs. (Italics=most definitive tests).
  4. Collaborative therapy for pt/TB
    • Oral meds – daily
    • --isoniazid (INH)
    • --rifampin
    • --pyrazinamide
    • --ethambutol
    • Caution: INH – ETOH may increase hepatotoxicity. Pt should avoid alcohol during tx.
  5. Collaborative care for pt w/TB
    (more)
    • After 2-4 weeks, disease is not considered infectious
    • Meds for 6-9 months
    • bacille Calmette- Guerin (BCG). European vaccine for TB. Will show positive on PPD.
    • --Live, attenuated M. bovis
    • --Used in many countries
    • --Efficacy ?
  6. nursing intervensions for pt w/TB
    • Assessment
    • Interventions
    • --Drug Therapy
    • --Symptomatic treatment
    • --Airborne precautions, ie negative airflow
    • --Nutrition
    • --Education
    • --Follow-up care, Finish meds!

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