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Tuberculosis

WHAT YOU SHOULD KNOW:

Tuberculosis (TB) is a severe lung infection caused by bacteria called Mycobacterium tuberculosis. TB spreads through the air.


CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

TB can spread to others and cause infection. Treatment may be more difficult if the infection has spread to other parts of your body. Without treatment, TB can cause long-term lung problems. The infection can spread to your brain, bones, spine, and kidneys. This can be life-threatening.

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

Rest with your head elevated:

Keep the head of your bed raised to help you breathe easier. You can also raise your head and shoulders on pillows or rest in a reclining chair. If you feel short of breath, let caregivers know right away.

Isolation:

Isolation safety measures are used to protect others from infection. Caregivers and visitors will need to wear sealed medical masks to enter your room. You need 3 negative sputum samples to stop isolation.

Pulse oximeter:

A pulse oximeter is a device that measures the amount of oxygen in your blood. A cord with a clip or sticky strip is placed on your finger, ear, or toe. The other end of the cord is hooked to a machine that records the oxygen level.

Medicines:

  • Antibiotics help fight the TB infection.

  • Steroid medicine decreases inflammation.

  • Antipyretics decrease a fever.

  • Expectorant medicine helps thin the mucus from your lungs. When sputum is thin, it may be easier for you to cough it up and spit it out.

Tests:

  • Arterial blood gases (ABGs) are done to test your blood for the amount of oxygen and carbon dioxide. The results can tell caregivers how well your lungs are working.

  • Blood tests may show damage to your organs, or that the infection has spread.

  • A chest x-ray may show swelling, infection, or lung collapse.

  • A CT scan , or CAT scan, may show tissue damage. You may be given a dye before the pictures are taken to help caregivers see your lungs better. Tell the caregiver if you have ever had an allergic reaction to contrast dye.

  • A sputum sample is tested for the germ that is causing your TB. It can also help caregivers choose the best treatment for you. Mucus from your lungs is collected in a cup when you cough. You may need to give 3 samples of your sputum, usually first thing in the morning.

Treatment:

  • Breathing treatments help open your airways so you can breathe easier. A machine is used to change liquid medicine into a mist. You will breathe the mist into your lungs through tubing and a mouthpiece. Inhaled mist medicines act quickly on your airways and lungs to relieve your symptoms.

  • Deep breathing and coughing will help expand your lungs and prevent more damage. Take a deep breath and hold it for as long as you can. Let the air out and then cough strongly. Deep breaths help open your airway. You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece in your mouth and take a slow, deep breath. Then let the air out and cough. Repeat these steps 10 times every hour.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Tuberculosis (Inpatient Care)

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