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Pulmonary Tuberculosis

  • Highly communicable (aerosolization) airborne Acid Fast Bacillus 
  • Exudative response causes pneumonitis
  • Bacilli multiplication usually controlled: walled off in tissues (collagen fibrosis) > necrotic tissue > lesion > calcifies or liquefies and spreads > cavity
  • Immunosuppression allows spread and may also create FALSE negative PPD
  • S/SX: fatigue, lethargy, loss of appetite, nausea, fever with night sweats, productive cough with mucopurulent sputum

WHAT TO DO?

  • PUT THEM IN ISOLATION
  • Private room, with doors and windows closed
  • Negative air flow in the room
  • N95 mask for the nurses and everyone who enters the room
  • A mask for the patient whenever they leave the room
  • Remain in isolation until 3 AFB sputum tests come back negative. 

NCLEX HINT: they like to test on RIFAMPIN.. and how it turns your urine orange. 

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