infection Flashcards
what is pneumonia
infection of lung parenchyma
pneumonia causes
surgery
bedrest
age over 65
smoking, air pollution
IV drug use
malnutrition
exposure to feces
pneumonia s/s
yellow sputum cough
crackles/ rhonchi
confusion
dyspnea
aches
tachypnea
chest pain
fever
pneumonia interventions
cluster activity
O2
increase fluids
IV antibiotics (oral after 3 days)
NSAIDS/ analgesics
pneumonia drug therapy
3-5 days for improvement
finish entire prescription
what is TB
infectious diseases (bacterial)
TB causes
airborne exposure (N95)
poor immune system
tight living quarters
TBRISK
tight living quarters
below poverty line
refugees
immune system (HIV)
substance use
Kids
homeless
TB s/s
dry cough
bloody sputum
night sweats (diaphoresis)
fevers, fatigue, low BP
weight loss
orange tears/ secrections
TB interventions
negative pressure room
monitor liver function
meds
DOT therapy
DOT therapy
directly observed therapy
watch pt swallow meds
strategy to ensure adherence
TB meds
R ifampin (orange tears/urine)
I sonizid (take B6 for peripheral neuropathy)
P yrazinamide (joint pain)
E thanbutol (visual changes)
monitor for hepatotoxicity
avoid alcohol
TB mantoux test
15 mm or bigger means positive result in pt with no risk
5 mm or bigger means positive result for HIV pt
how long are you infected with TB
infectious for 2 weeks after treatment