Download Active TB Procedure

Active TB Procedure
PURPOSE:
To treat clients with active tuberculosis disease
EQUIPMENT:
Chart, Family Data Sheet, Pre-TB Clinic Initial Patient Questionnaire,
TB Program Monthly Flow Sheet, Periodic Patient Questionnaire,
Pamphlets, Care Plan.
PROCEDURE:
1.
If client has any cough and has not been on adequate antituberculosis medications for at least two weeks then they should
be wearing a mask; if they are not then immediately place a
mask on the client.
2.
Treatment of Active TB is done either in accordance with therapy
begun elsewhere, or in accordance with a decision made by the
Medical Director or his designate at the Doctor’s Tuberculosis
Clinic. See the procedure descriptions for the appropriate
situation.
3.
In either situation, the patient should have a chart made up and
completion of the Family Data Sheet, Pre-TB Clinic Initial Patient
Questionnaire, TB Program Monthly Flow Sheet, and during the
monthly medication visits, completion of the Periodic Patient
Questionnaire.
4.
Details of exact medications are in accordance with those
ordered by the physician. The nurse distributes the medications
monthly in accordance with the procedure described for monthly
medication pick-up. In the case of active TB, the patient’s weight
and vital signs are measured during each monthly visit. When
the patient has questions which are difficult for the nurse to
answer, or signs or symptoms suggestive of medication toxicity,
treatment failure, or another illness which requires physician
attention, the nurse will contact the physician for further
instructions.
5.
Directly observed therapy will be utilized when ordered by the
physician.
6.
Generally the indications for treatment and the details of the
treatment regimen are consistent with those discussed in
reference (1) or more current standards. When this is not so,
the Medical Director or his designate will confer with an
appropriate specialist or resource to assure the treatment given
is appropriate.
REFERENCE
(1)
American Thoracic Society (and Centers for Disease Control and Prevention),
Treatment of Tuberculosis and Tuberculosis Infection in Adults and Children, Am J
Respir Crit Care Med, Volume 149, pp 1359-1374, 1994.
Rev. 10/8/1999
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