How to administer TB treatment|Course hero helper

Posted: January 17th, 2023

Wilson is a 36-year-old migrant worker. He was admitted to the Hospital with a cough, unintended weight loss, and night sweats. He is staying with 6 friends in a one bedroom apartment near the strawberry field where he works. The ED physician suspects Tuberculosis (TB).

  • What diagnostic testing will the Provider order to confirm a diagnosis of TB?
  • What Isolation precautions do you expect to be put in place and why?
  • Describe the recommended treatment regimen for TB, including the rationale for combination drug therapy.
  • Identify the reason compliance to medication therapy is often a concern in the patient with TB.
  • What should be done for Wilson’s 6 roommates?

SOLUTION

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  • The provider will likely order a chest X-ray and a test called a sputum acid-fast bacilli (AFB) test to confirm a diagnosis of TB. Additional tests, such as a blood test for TB or a biopsy of affected tissue, may also be ordered.
  • Isolation precautions for a patient with suspected or confirmed TB would include placing the patient in a private room with negative airflow and wearing a mask or respirator when entering the room. This is to prevent the spread of TB to other patients and healthcare workers.

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