Tu berculosis (tb)


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Tu berculosis (tb)

  1. 1. DEFINITION -Abbreviated as TB for Tubercle Bacillus -An infection caused by slow- growing bacteria that grows best in areas of the body that have lots of blood and oxygen.
  2. 2. PULMONARY TUBERCOLOSIS -bacterial infection involves the lungs EXTRAPULMONARY TB -bacterial infection that is spread to other organs
  3. 3. Mode of transmission
  4. 4. ACTIVE TB -the TB bacteria are growing and causing symptoms. -if your lungs are infected with active TB, it is easy to spread the disease to others LATENT TB -you have the TB bacteria in your body but your body defenses(immune system) are keeping it from turning to active TB. -You don’t have any symptoms of TB and can’t spread
  5. 5.  Anorexia(lost of appetite) Symptoms
  6. 6.  Hemoptysis (coughing up Hemoptysis (coughing up blood) Cough for 3 weeks Fatigue Weight loss Fever Night sweating Chest pain
  7. 7. Signs and Tests The Doctor will perform physical exam.  Clubbing of the finger or toes  Swollen or tender lymph nodes in the neck or other areas  Fluid around a lung( pleural effusion)  Unusual breath sounds
  8. 8. HIV/AIDS Infection/ Diabetes Alcoholism/smoker s weaken immune system Elderly Risk factors for TB
  9. 9. Sputum testing Chest X-ray TB Diagnosis
  10. 10.  The mantoux skin test aka Tuberculin Skin Test(TST or PPD test)
  11. 11.  Short course Chemotherapy 6 months treatment with: -Rifampicin - Isoniazid(INH) -Pyrazinamide(PZA) -Ethambutol -Streptomycin  DOT(Direct Observed Therapy) Treatment
  12. 12.  Maintain respiratory isolation until patient responds to treatment or until he is no longer contagious  Administer medicines as ordered  check sputum always for blood or purulent expectoration  Encourage questions, conversation, to air their feelings  Encourage to stop smoking  Teach patient to cough or sneeze into tissue paper and dispose secretions properly  Advice patient to have plenty of rest and eat balanced meals  Be alert on signs of drug reaction  If the patient is receiving ethambutol, watch for neuritis.  if he recieves Rifampicin watch for Hepatitis and purpura. Nursing Management
  13. 13.  submit all babies for BCG immunization Avoid overcrowding Improve nutritional and health status Advice persons who have been exposed to infected persons to receive tuberculin test and if necessary chest x-ray and prophylactic Isoniazid P R E V E N T I O N & control
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