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DEFINITION
-Abbreviated as TB for Tubercle
Bacillus
-An infection caused by slow-
growing bacteria that grows best in
areas of the body that have lots of
blood and oxygen.
PULMONARY TUBERCOLOSIS
-bacterial infection involves the
lungs
EXTRAPULMONARY TB
-bacterial infection that is
spread to other organs
Mode of
transmission
ACTIVE TB
-the TB bacteria are
growing and causing
symptoms.
-if your lungs are
infected with active
TB, it is easy to
spread the disease
to others
LATENT TB
-you have the TB
bacteria in your
body but your
body
defenses(immune
system) are
keeping it from
turning to active
TB.
-You don’t have any
symptoms of TB
and can’t spread
 Anorexia(lost of appetite)
Symptoms
 Hemoptysis (coughing up
Hemoptysis (coughing up
blood)
Cough for 3 weeks
Fatigue
Weight loss
Fever
Night sweating
Chest pain
Signs and Tests
The Doctor will perform
physical exam.
 Clubbing of the finger or
toes
 Swollen or tender lymph
nodes in the neck or other
areas
 Fluid around a lung( pleural
effusion)
 Unusual breath sounds
HIV/AIDS Infection/
Diabetes
Alcoholism/smoker
s
weaken immune
system
Elderly
Risk factors for TB
Sputum testing
Chest X-ray
TB Diagnosis
 The mantoux skin test aka Tuberculin Skin
Test(TST or PPD test)
 Short course Chemotherapy 6 months treatment with:
-Rifampicin
- Isoniazid(INH)
-Pyrazinamide(PZA)
-Ethambutol
-Streptomycin
 DOT(Direct Observed Therapy)
Treatment
 Maintain respiratory isolation until patient responds to
treatment or until he is no longer contagious
 Administer medicines as ordered
 check sputum always for blood or purulent expectoration
 Encourage questions, conversation, to air their feelings
 Encourage to stop smoking
 Teach patient to cough or sneeze into tissue paper and
dispose secretions properly
 Advice patient to have plenty of rest and eat balanced meals
 Be alert on signs of drug reaction
 If the patient is receiving ethambutol, watch for neuritis.
 if he recieves Rifampicin watch for Hepatitis and purpura.
Nursing Management
 submit all babies for BCG
immunization
Avoid overcrowding
Improve nutritional and
health status
Advice persons who have
been exposed to infected
persons to receive
tuberculin test and if
necessary chest x-ray and
prophylactic Isoniazid
P
R
E
V
E
N
T
I
O
N
&
control
Tu berculosis (tb)

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Tu berculosis (tb)

  • 1.
  • 2. DEFINITION -Abbreviated as TB for Tubercle Bacillus -An infection caused by slow- growing bacteria that grows best in areas of the body that have lots of blood and oxygen.
  • 3. PULMONARY TUBERCOLOSIS -bacterial infection involves the lungs EXTRAPULMONARY TB -bacterial infection that is spread to other organs
  • 4.
  • 6.
  • 7. ACTIVE TB -the TB bacteria are growing and causing symptoms. -if your lungs are infected with active TB, it is easy to spread the disease to others LATENT TB -you have the TB bacteria in your body but your body defenses(immune system) are keeping it from turning to active TB. -You don’t have any symptoms of TB and can’t spread
  • 8.  Anorexia(lost of appetite) Symptoms
  • 9.  Hemoptysis (coughing up Hemoptysis (coughing up blood) Cough for 3 weeks Fatigue Weight loss Fever Night sweating Chest pain
  • 10. Signs and Tests The Doctor will perform physical exam.  Clubbing of the finger or toes  Swollen or tender lymph nodes in the neck or other areas  Fluid around a lung( pleural effusion)  Unusual breath sounds
  • 13.  The mantoux skin test aka Tuberculin Skin Test(TST or PPD test)
  • 14.
  • 15.  Short course Chemotherapy 6 months treatment with: -Rifampicin - Isoniazid(INH) -Pyrazinamide(PZA) -Ethambutol -Streptomycin  DOT(Direct Observed Therapy) Treatment
  • 16.  Maintain respiratory isolation until patient responds to treatment or until he is no longer contagious  Administer medicines as ordered  check sputum always for blood or purulent expectoration  Encourage questions, conversation, to air their feelings  Encourage to stop smoking  Teach patient to cough or sneeze into tissue paper and dispose secretions properly  Advice patient to have plenty of rest and eat balanced meals  Be alert on signs of drug reaction  If the patient is receiving ethambutol, watch for neuritis.  if he recieves Rifampicin watch for Hepatitis and purpura. Nursing Management
  • 17.  submit all babies for BCG immunization Avoid overcrowding Improve nutritional and health status Advice persons who have been exposed to infected persons to receive tuberculin test and if necessary chest x-ray and prophylactic Isoniazid P R E V E N T I O N & control