11: TB Flashcards
What is read in the TB skin test?
Induration, not erythema.
Is this a positive reading at 5, 10, or 15 mm on the TB skin test?
People with other medical conditions
10 mm
Who might have a false negative TB skin test (4)?
- Immunocompromised
- Infants <6 months,
- 45+
- Poor nutrition/concurrent infx
Which type of TB?
High fever, malaise, poor appetite, weight loss, fatigue, lymphadenopathy, hepatosplenomegaly.
Miliary TB
T/F False negative skin tests will occur in 10-15% of those with active TB.
True. Skin tests require good cell-mediated immunity. Active TB decreases CD4 count and cell-mediated immunity.
What is the drug most commonly used for latent TB?
Isoniazid (INH)
The TB blood test is expensive and does not require a follow-up reading. It is based on _____.
Interferon-Gamma Release Assay (IGRA)
Is this a positive reading at 5, 10, or 15 mm on the TB skin test?
Healthcare workers
10 mm
Are children at high risk of transmitting TB to others?
No, because of low tidal volume.
Is this a positive reading at 5, 10, or 15 mm on the TB skin test?
Anyone who has been exposed in past
10 mm
What should be used in pleural/pericardial effusion to help with inflammation, mortality, and neurologic disability?
Corticosteroids
Is this a positive reading at 5, 10, or 15 mm on the TB skin test?
Clinical findings suggestive of TB
5 mm
Risk factors for TB (6)?
- Foreign-born
- Poor
- Poor nutrition
- Lack of healthcare
- Overcrowded living conditions
- Ethnic minority
T/F Children under 10 may have active TB but exhibit no coughing.
True
What is the NP role in TB treatment?
Stay up-to-date on treatment guidlines. PCP may treat latent TB, but most cases are handled by the Department of Public Health. Active TB is treated by specialists.
Who should not get the TB blood test d/t high inaccuracy.
Children under 5
This type of TB travels from primary site through blood/lymph and seeds multiple organs.
Miliary TB
How is TB spread?
Droplet. Particles can stay in the air for hours. Grows slowly in culture.