A 31-year-old caucasian male presented

TUBERCULOSIS CASE STUDY

A 31-year-old caucasian male presented to the Emergency Department (ED) after experiencing gross hemoptysis. He had a 2 month history of productive cough, a 25 pound weight loss, night sweats, and fatigue. A CXR revealed bilateral infiltrates. The initial sputum specimen was obtained & sent for culture, and sensitivity. The patient has a history of heavy alcohol and drug use. He is HIV negative, Hepatitis B and C positive, has a long history of cigarette use, and a chronic smoker’s cough. The patient resides with his wife and three children (ages 9, 7&2yrs) 1) When the patient is admitted to the hospital, should he be placed on precautions? A. No, TB has not been confirmed yet. B. No, he should be admitted to a private room because he probably has lung cancer and isolation would be too distressing. C. No, he can be admitted into a shared room. D. Yes, he should be placed in an isolation room. 2- If the patient has active Tuberculosis what will the sputum culture report reveal? __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 3- If the culture confirms the diagnosis of TB will the patient be admitted to the hospital? Why? __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 4- If the patient is admitted to the hospital, what type of isolation precautions will he be placed on? A. Airborne precautions B. Reverse isolation C. Neutropenic precautions D. Droplet precautions 5- Explain & describe all airborne precaution protocols implemented for this patient. _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 6- Regarding respiratory isolation precautions, what should the patient be educated on? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 7- What are additional tests used to screen for Tuberculosis? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 8- With the patient’s sputum culture positive for M. tuberculosis he was immediately started on a standard four drug regimen. What classification of drugs are used to treat tuberculosis? ________________________________________________________________________ 9- Explain why medications used to treat TB are always used in combination? _______________________________________________________________________ _______________________________________________________________________ 10- Which of the following drugs are used to treat active TB? (Select all that apply) A. Cefazolin B. Ethambutol C. Isoniazid (INH) D. Rifampin E. Streptomycin F. Pyrazinamide 11- How long may this patient remain on medication to treat his tuberculosis infection? (Select all that apply) A. 3-6 months B. 6-9 months C. 6-12 months D. Up to 2 years E. Up to 3 years 12- What are some of this patient’s risk factors that put him at risk for pulmonary tuberculosis? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 13- Teach your patient about the side-effects associated with the following medications: 1)Rifampin- ___________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ 2) Isoniazid- ____________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 14- What is the criteria for this patient’s discharge from the hospital? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ 15- Prior to discharge, what is important patient education to provide to this patient? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE.*******."