Google maps study guide for Quiz #2 221 Tuberculosis Signs and Symptoms Fatigue Weight loss Night sweats Anorexia Low grade afternoon fever Dry cough leading to hemoptysis Signs and Symptoms of infants Persistent cough Weight loss, failure to gain weight Low grade fever Possible wheezing and decreased breath sounds Signs and Symptoms of children Chills Decreased appetite Weight loss/ delayed growth Enlarged lymph nodes Night sweats (same as adult) Fatigue (same as adult) Treatment Prophylactic treatment, if livingin close quarters with someone with TB. Usually one medication, Isoniazid (INH) Active TB, 2+ meds. 4 meds for the first 2 months. If HIV+ treatment may be 9 months Usually lasting at least 6 months Before Pharm treatment, baseline LFT , vision exam , and audiometric testing Isoniazid is the first line drug and also used for prophylaxis Rifampin used in combo with Isoniazid (INH) Pyrazinaminde Ethambutol Streptomycin: given to prevent multidrug resistent TB B6 given to decrease neuropathies when taking Isoniazid Respiratory therapy and Infectious disease specialist (Collab care) Patient teaching Will be put in a private room with negative air flow Droplet and airborne precautions N95 respirator mask when transporting around hospital False negatives are common in immunosuppressed patients, will do a two step Good handwashing Avoid large crowds and sick people Adhere to medication therapy, take full course of medications
If at home with TB, stay away from healthy famiy members as much as possible Need to cover mouth and nose when coughing or sneezing. Tissues disposed by flushing, sealed bag in trash can, or burning Do not leave the house, except for medical appointments. Must wear N95 mask High risk populations HIV/AIDS Drug abuse, alcoholism Immigration, homelessness, poverty Prolonged contact with others with poor ventilation Ethnic minorities that are foreign born Economically challenged urban areas Infants (immature immune system) Older adults, Nursing home residents Chronic Kidney Disease Functions of kidney Acid base balance (metabolic acidosis) Excretes waste, nitrogenous and metabolic Blood pressure and fluid regulation RBC production via erythropoietin Pathology Glomerular capillary flow and pressure increase Increased demand causes glomerular sclerosis (scarring) Proteinuria from glomerular damage Nephrons are destroyed Etiology Increased fluid volume and vasular disease – Hypertension Diabetes (Increased viscosity and arterial pressure, damages glomerular capillaries) African american Elderly (decreased kidney function) Inflammation (chronic UTIs, pyelonephritis, renal calculi) High risk group Patients with Diabetes ( leading cause) and Hypertension African Americans (HIGHEST RISK)
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- Fall '19
- Chronic kidney disease, Fatigue