What are diagnostic interventions with someone who has PNA? 3
Chest x-ray
Gram stain of sputum and sensitivity test
Complete CBC, WBC differential
T or F: You will offer foods high in calories with someone who has PNA?
True
What respiratory dz would you expect with these symptoms:
Fever of 103
Consolidation
Increased mucus production
Dyspnea
Confusion
PNA
This term is palpation of vibrations on the chest during breathing
Tactile Fremitus
List tx and interventions for PNA: 6
1. O2
2. ABX
3. Fluids
4. rest
5. Antipyretics
6. Analgesicsc
When is Thoracentesis indicated?
Fluid collection of pleural cavity
This is a condition in which excess fluid builds around the lung with someone who has _____.
Pleural effusion: PNA
Pericarditis and Meningitis are complications of which respiratory dz?
PNA
This term is a collection of pus in the space between the lung and the inner surface of the chest wall (pleural space)
Empyema
What does HMO stand for during PNA care?
Head of bed 30 degrees
Mobility
Oral Care
List reactivation reasons of TB
1. lowered resistance
2. age
3. Immunosuppression, including HIV
4. Malnutrition
5. ETOH and drug abuse
6. Diabetes, renal disease, cancer
What resp. dz does this patient have:
Cough and fatigue
Weight loss
Low grade fever
Night sweats
Hemoptysis
TB
Hemoptysis is a late sx of which resp. dz?
TB
What are diagnostics ordered for someone who might have TB?
Sputum specimens
Smear
Culture
DNA fingerprinting
Positive skin test
CXR
List the minimum measurement of induration in the TST readings of these patients:
1. HIV, Recent contacts of TB, Organ transplants
2. Children <5yo, Mycobacteriology lab personnel
3. Injection drug users, Recent arrivals from high-prevalance countries
1. >5mm
2. >15mm
3. >10mm
What are some false positive reasons for a false positive TST test?
Nontuberculous mycobacteria
BCG vaccination
Problems with TST administration
Will a recent TB infection cause a false-positive or false-negative TST?
false-negative
What are the 4 drug regimen of TB meds. initially 2 months? Which 2 drugs are then dropped off?
INH
Rifampin (dropped)
Pyraazinamide (dropped)
Streptomycin or Ethambutol
Which drugs are used during a latent TB?
9 month regime of ONLY INH.
How long does sputum culture have to be free of TB before they can d/c medications?