RESULTS

MATERIALS/METHODSDefinition

symptoms

RESULTS

CONCLUSION

TuberculosisKetly prophete, irakMANAL GRANTC.I E.T BRIDGE

NURSING INTERVENTIONS

1ADMINISTER MEDICATION AS ORDERED PREVENT TRANSMISSION

A(STRICT ISOLATION NOT REQUIERED OF CLIENT /SIGNIFICANT OTHERS ADHERE TO SPECIAL RESPIRATION PRECAUTIONS FOR TUBERCOLOSIS

B(CLIENT SHOULD BE IN A WELL –VENTILATED PRIVATE ROOM ,WITH THE DOOR KEPT CLOSED AT ALL TIMES.

C ALL VISITORS AND STAFF WEAR MASKS WHEN IN CONTACT WITH THE CLIENT SHOULD DISCARD THE USED MASK BEFORE LEAVING THE ROOM, CLIENT SHOULD WEAR A MASK WHEN LEAVING THE ROOM FOR TEST.

D ALL SPECIMEN S SHOULD BE LABELLED’’AFB PRECAUTIONS’’.

E HAND WASHINH IS REQUIERED AFTER DIRECT CONTACT WITH THE CLIENT OR CONTAMINATED ARTICLES.

9

Tuberculosis is a contagious bacterial infection that mainly involves the lungs, but may spread via airbone droplets when infected persons cough, sneeze, or laugh.Once inhaled, the organisms implant themselves in lungs and begin dividing slowly, causing inflammation, development of the primary tubercle, and eventual caseation and fibrosis.

• Cough(yellow mucoid sputum,dyspnea, hemoptysis, rales or crakles.• Anorexia, malaise, weight loss, afternoon low grade ferver, pallor, pain, • Night sweats, fatigue.

Chest x ray indicatees presence and entent of disease process but cannot differentiate active

From anactive form b)Skin test (PPD) positive area of induration 10mm or more diameter afteer 48 hours C)Sputum positive for acid fast bacillus(three samples is diagnostic for disease)D(culture positiveE(wbc and ESR increased

DIAGNOSTICS

TREATMENT OF ACTIVE PULMONARY TB WILL ALWASYS INVOLVE A COMBINATIONOF MANY DRUGS(USUALLY FOUR DRUGS)THE MOST COMMON DRUGS INCLUDE;.ISONIAZID.RIFAMPIN.PYRAZINAMIDEETHAMBUTOL

OTHER DRUGS THAT MAY BE USED TO TREAT TB INCLUDE AMIKACINETHIONAMIDEMOXIFLOXACINPARA AMINOSALCYLIC ACIDSTREPTOMYCIN

TREATMENT

Promote Adequate Nutrition

CONCLUSION

a)Make ongoing assessments of client’s appetite and do kcal counts for 3 days; consult dietition for dietition for diet guidelines.b)Offer small,frequent feedings and nutritonial supplements ; assist client with menu selection stressing balanced nutrition.C)Weigh client at least twice a week .d)Encourage activity as tolerated to increase appetite.4-PREVENT SOCIAL ISOLATIONA-Impact a confortable ,confident attitude when caring for the client.B)Explain the nature of the disease to the client,significant others,and visitors in simple terms.C)Stress that visits are important ,but isolation precautions must be followed.5)Vary the client’s routing to prevent boredom.6)Discuss the client’s feelings and assess for boredom,depression, anxiety,fatigue,or apathy;provide support and encourage expression of concerns.7)Provide client teaching and discharge planning concerning.a)MEDICATION REGIMEN : prepare a sheet worth each drug name,dosoge,time due, and major side effects ;stress importance of following medication schedule for prescrisbe period of time (usually 9 months) include significant others.