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Infectious Conditions of the Lower Respiratory Tract

Infectious Conditions of the Lower Respiratory Tract. Tuberculosis. Supportive Educative Nursing. Etiology. Gram + AFB Exposure repeated Contamination Replication. Statistics. Video. http://www.youtube.com/watch?v=QgVchBERVng. Populations At Risk. Symptoms. Diagnosis.

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Infectious Conditions of the Lower Respiratory Tract

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  1. Infectious Conditions of the Lower Respiratory Tract

  2. Tuberculosis Supportive Educative Nursing

  3. Etiology • Gram + AFB • Exposure repeated • Contamination • Replication

  4. Statistics

  5. Video http://www.youtube.com/watch?v=QgVchBERVng

  6. Populations At Risk

  7. Symptoms

  8. Diagnosis • Tuberculin skin test • H & P • CXR • Sputum collection • + AFB • QuantiFERON-TB test

  9. Mantoux tuberculin skin test • Intradermal wheal • Induration 48 to 72 hours • Annually for healthcare workers

  10. Medical Management • Four drug regimen for six months (Centers for Disease Control): INH (isoniazid) Rifampin PZA (pyrazinamide) Ethambutol • Follow up CXR • Follow up bacteriostatic studies

  11. Nursing Management • Health Promotion • Education • Hand washing • Isolation • HEPA ( High-efficiency particulate air) masks • Public/community health department

  12. Vaccine & Immunizations TB Vaccine (BCG) • BCG, or bacille Calmette-Guérin, is a vaccine for TB disease. • Not widely used in the United States • If you were vaccinated with BCG, you may have a positive reaction to a TB skin test. (Centers for Disease Control website)

  13. Nursing Diagnosis • Ineffective breathing pattern r/t decreased lung capacity • Imbalanced nutrition: less than body requirements r/t chronic poor appetite, fatigue, productive cough • Noncompliance r/t lack of knowledge of disease process • Ineffective health maintenance r/t lack of knowledge about disease process and therapeutic regimen • Activity intolerance r/t fatigue, decreased nutritional status, chronic febrile episodes

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