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15 Cards in this Set

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