PTB Flashcards
Respiratory infection
Highly contagious infection caused by tubercle bacilli
Ptb
Pulmonary Tuberculosis
Hallmark symptoms F M W Chronic cough N H P- (pain) Low grade fever in the \_\_
Fatigue Malaise Chronic cough Night sweat Pleuritic pain Low grade fever in the afternoon
Pulmonary Tuberculosis
Sputum afb collection
Best time:
First action:
To facilitate sputum:
Ideal specimen:
Best time: early morning
First action: prepare specimen
To facilitate sputum: deep breathing
Ideal specimen: warm bronchial secretions not saliva
Pulmonary Tuberculosis
Tubercullin skin test
Reaction time:
48-72hrs
Pulmonary Tuberculosis
Tubercullin skin test
What do you measure?
______is positive
_____ (for immunocompromised) is positive
Induration
> 15MM
> 5MM
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
Side effect body fluid discoloration
Rifampicin
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
Side effect peripheral neuritis
Isoniazid
Pulmonary Tuberculosis
First Line of anti TB Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
Meds given with isoniazid to prevent peripheral neuritis
Vit B6 Pyridoxine
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
Side effect optic neuritis
Ethambutol
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
Ethambutol contraindication:
Children
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
Side effect ototoxicity
Streptomycin
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
What toxicity when someone is taking anti-TB meds?
Hepatotoxic
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
What to avoid when taking anti TB Meds
Alcohol
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
How to evaluate anti TB meds
Sputum culture,afb
Pulmonary Tuberculosis
First Line of anti TB drugs: RIPES
Side effects: increase serum uric acid
Pza