Part 2 Flashcards
___is an infectious disease of the lung characterized by lesions within the lung tissue.
The lesions may continue to do what ?
The causative organism is what ?
Pulmonary tuberculosis
degenerate and become necrotic, or they may heal by fibrosis and calcification.
the true tubercle bacillus Mycobacterium tuberculosis.
Refers to an infection with Mycobacterium bacterium tuberculosis disease
May develop into active TB if the immune system is weakened by a serious illness
Latent TB
Like HIV
Advance age
How is TB spread
The infection often occurs
Through airborne particles that carry the TB bacilli
Or inhaled by a susceptible individual
Occur after prolonged exposure of the disease
American Indian Alaska native Asian/pacific Non Hispanic Immigrants are a what
Higher risk of Tb
It takes Highly contagious airborne organism___For it to replicate
2 to 12 weeks
What are some sign and symptoms of TB
Cough, low-grade fever in the afternoon, anorexia, loss of weight, fatigue, night sweats, and sometimes hemoptysis(blood in sputum)
Tight or dull chest pain and mucopurulent sputum may occur as the disease progresses.
The older adult population may not experience the expected signs and symptoms of TB because
The immune response is not as strong in many instances active T infection presents as a chronic pneumonitis
How is TB diagnosed
Tuberculin skin testing
Blood testing
Radiographic examinations and sputum cultures
What are the two blood test that is approved by the fda for taking TB
Qaunti feron-Tb
T-spot.Tb test
What type of radiography test is used for TB
Ct
When is a Dx of active TB established
When are gastric washing done
When the tubercles bacillus has been found in the sputum or gastric washing
Mainly on children’s take 1 to 3 weeks
Treatment of active TB consists of
And what are the drug for Tb
How long does it take for effective cure when you have pulmonary TB
What is used for LTBI
of at least four drugs for an extended
period of time.
Isoniazid Erhambutol Ridampin Pyrazinamide Rifabutin Rifapentine
6 to 9 months
One weekly dosing schedule for 12 weeks
What vitamin has been found to be successful in prevention and treatment of TB
White blood cells convert vitamin D into an
Vitamin D
Into an active form that helps make proteins that kills TB bacteria
It is possible for the tubercle bacillus to
Attack and damaged part of the body other then the lung
Areas most frequently affected are
TB of the spine, is now quite rare in the United States.
The deformity most commonly seen in this disease is kyphosis, or “hunchback.”
Extrapulmonary Tb
the bones, meninges, urinary system, and reproductive system.
called Pott’s disease
kyphosis, or “hunchback.”
Because of an increase in the incidence of multidrug-resistant TB, directly observed therapy (DOT) is recommended for
Visual observation of the ingestion of each required dose of medication for the entire course of treatment
Often a public health nurse administers the medication at a clinic site.
Follow-up visits are necessary for 12 months after completion of therapy to monitor for the presence of resistant strains.
for patients who are known to be at risk of noncompliance with therapy.
12 months after completion of therapy to monitor for the presence of resistant strains.
