tuberculosis Flashcards
How is TB spread?
Mycobacterium is carried through the air in droplets produced when infected person coughs
What does transmission require?
close, frequent, and prolonged exposure
Is TB spread through physical contact?
No
How long are droplets suspended in the air?
Mins-hours
Risk factors for TB (8)
-homeless
-inner-city residents
-foreign born
-institutions
-immunosuppressed
-asian descent
-IV drug users
-people in poverty
What is the first sign of TB?
fatigue and weakness
What is a late sign of TB?
hemoptysis
S/S of TB (9)
-fatigue
-anorexia
-weight loss
-night sweats
-low-grade fever
-crackles and diminished lung sounds
-adenopathy
-productive cough
-hemoptysis
What is the first step in diagnosing TB?
PPD test
What is a positive PPD test in a immunosupresed person?
5 or more
What is a positive PPD test in a high risk person?
10 or more
What is a positive PPD test in a healthy person?
15 or more
What is the second step in diagnosing TB?
a chest X-ray
What is the third step in diagnosing TB?
A sputum culture
When should you take a sputum culture?
first thing in the morning, before any antibiotics