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15 Cards in this Set
- Front
- Back
what are first line medications for TB
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isoniazid (INH)
Rifampin(Rifadin) Ethambutol (Myambutol) Pyrazinamide (PZA) |
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What is the resistant strain called? Why does it occur?
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MDR-TB, occurs when client receives 2 medications and discontinues one of the medications.
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what are signs/symptoms of TB
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night sweats, low grade fever, tachycardia, anorexia, crackles, fatigue, hemoptysis (coughing up blood)
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diagnostics of TB
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mantoux skin test is positive. Duration
Acid-fast bacillus test. Chest x-ray.Sputum culture (3+) - most definitive |
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what type of isolation is used with TB
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airborne isolation
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Treatment of TB lasts?
Why do pts stop too early? |
6 - 12 months
Stop early because the meds make them feel bad. |
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What is definitive for nontransmissionalbe? How long is this usually on medications?
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3 negative sputum checks.
> 14 days on med. |
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What are other airborne diseases for airborne precautions?
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chicken pox shingles, meningitis
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What is DOTS
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direct observation treatment surveillance
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when giving a Mantoux test, how should it be administered?
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It is an intrademal injection to the inner forearm, reviewed in 48 hrs for induration.
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In order to avoid spreading TB, the pt sould follow what precaution?
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cover her mouth when coughing, family members may need to be treated also.
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If a pt has a positive skin test result, what would the next step be?
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Have the pt perform a definitive test to determine if they have the "active" disease (infectious)
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As a nurse, what is the best precaution to take when caring for this patient?
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Use of a High-efficiency particulate air mask (HEPA)
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If a pt has a positive skin test for TB, but it is not 'active', what is the recommeded treatment?
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Prophylactic therapy with INH for 6 months.
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When assess a pt with TB, what s/s are consistent with this disease?
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wt loss, night sweats, fatigue, low grade fever.
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