About
Highly communicable bacterial infection in the lungs causing inflammation and growths within the lungs; can cause subsequent infections to other areas of the body.
Assess
Weight loss, night sweats, fever, chills, cough that does not go away, shortness of breath, living in crowded areas or past exposure to TB.
Complications
Drug resistant strains of TB- must maintain strict adherence to drug therapy.
Spread of infection to close contacts- administer prophylactic treatment to close contacts.
Diagnosis
- Impaired gas exchange related to disease process
- Readiness for enhanced therapeutic regimen management related to medication schedule and prevention of complications of disease and transmission to others
Goals
- The client will verbalize the components of the medication regimen, and state reasons why adherence is important.
- The client will be able to identify ways to prevent the spread of infection to others.
Interventions
- Wear an N95 fit-tested respirator mask when in contact with the client.
- Monitor lungs sounds, vitals, and intake/ output while the client is hospitalized.
- Maintain strict airborne precautions while the client is hospitalized.
- Encourage adequate rest during the acute illness phase.
- Encourage testing of close contacts, including family members, so that treatment may begin for those clients.
- Encourage adequate nutrition to prevent the return of opportunistic infections or active TB infection.
- Provide opportunities for the client to express concerns and fears while hospitalized.
- Teach the client ways to decrease the transmission to others, including masking in crowds, covering mouth and nose when sneezing or coughing.
- Teach the client about the medication regimen and possible drug resistance developing if treatment plan is not followed.
- Teach the client ways to manage side effects of medications.
- Monitor for signs/ symptoms of complications.
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