you freaking nerd you think i’d stay up until 3am watching star trek? well you’d be absolutely right
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.
“In three years of teaching, this is, by far, my favorite student error.”
Settling in to be another clear night and pretty evening here in Night Vale. I hope all of you out there have someone to sleep through it with. Or, at least, good memories of when you did.
Goodnight, listeners. Goodnight.
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"Realizing that what Mr. Shatner did was so unique […] was very liberating because I knew that if anything I had to run in the opposite direction to make any mark of my own on the part. And that’s not to say there wasn’t a conversation early on about I might be able to use little nuances from his performances to use on my own." (Chris Pine)

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