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Kay Lee

on 15 September 2014

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Transcript of TB

Assessment Progressive fatigue, nausea, anorexia & weight loss.
Irregular menses.
Low-grade fevers over a period of time.
Night sweats.
Cough with mucopurulent sputum, chest tightness & dyspnea.
Diagnostic Procedures Risk Factors Nursing Management Tuberculosis (TB) Etiology Close contact.
Immunocompromised status.
IV drug user.
Person who lives in institutions/close quarters.
Lower socioeconomic group.
Immigrants from countries with high prevalence of TB (Latin American, Southeast Asia & Africa). Notification of state health department; evaluation of contacts.
Isoniazid Prophylaxis (INH)
Chemotherapy - combo medications: INH, rifampin (Rifadin), ethambutol (Myambutol) & streptomycin.
Isolation for 2 to 4 weeks or 3 negative sputum cultures after drug therapy is initiated.
Patient education/teachings. Transmitted by airborne release droplet nuclei.
May lie dormant for many years & reactivated.
Myobacterium tuberculosis (acid fast gram positive bacillus). Mantoux Testing

Read in 48-72 hours
10mm or greater induration = significant (positive) reaction
Positive result does not necessarily mean that active disease is present, but indicates exposure to TB or the presence of inactive (dormant) disease. Multiple puncture test (Tine):
Read test in 48-72 hours
Vesicle formation = positive reaction
Screening test only
Questionable or positive reactions verififed by Mantoux test. Tine Testing
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