Use ATI learning template system disorder for tuberculosis
Disease process: Tuberculosis
Alteration in health Tuberculosis |
Pathophysiology related to client problem Tubercle bacilli establish infection in the lungs after they are carried in drplets small enough to reach the alveolar spaces. In the defense system of the host fails to eliminate the infection, the bacilli proliferate inside alveolar macrophages and eventually kill the cells. |
Health promotion and disease prevention Isoniazid is one of the drugs used to prevent latent TB from progressing to active TB or TB disease. Isoniazid is a cheap drug, but in a similar way to the use of the BCG vaccine, it is mainly used to protect individuals rather than to interrupt transmission between adults |
Assessment
Riskfactors Diabetes, alcohol,malnutrition, tobacco smoke, indoor air pollution, renal disease, gastrectomy, malignancy, transplant, tumor necrosis, age, male gender, low socio economic status, HIV infectioin |
Diagnostic tests TB skin test TB blood test Chest X-ray Sputum culture |
Patient centered care
Nursing care Prevent the spread of tuberculosis infection, promote the airway clearance, Promoting activity and maintain adequate nutrition, monitor for the adverse effects, Use personal protective equipments and mainatin hand washing to prevent the spread of infection |
Medications Isoniazid, Rifampicin, pyrazinamide, ethambutol and streptomycin |
client education Cover the nose and mouth with a tissue while coughing and sneezing. Put the used tissue in a closed bag and throw it away. Maintain good hygiene Wash hands after coughing or sneezing. |
complications Spinal pain Joint damage Swelling of the membranes Liver or kidney problems Heart disorders. |
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