Chest and lower back pain
Chills. fever. night sweats. and hemoptysis
Fever of more than 104*F and nausea
Headache and photophobia
To confirm the diagnosis
To determine if a repeat skin test is needed
To determine the extent of the lesions
To determine if this is a primary or secondary infection
He had TB in the past and no longer has it.
He was successfully treated for TB. but skin tests always stay positive.
He’s a “seroconverter”. meaning the TB has gotten to his bloodstream.
He’s a “tuberculin converter.” which means he has been infected with TB since his last skin test.
10 to 14 days
2 to 4 weeks
3 to 6 months
9 to 12 months
Admit him to the hospital in respiratory isolation
Prescribe isoniazid and tell him to go home and rest
Give a tuberculin test and tell him to come back in 48 hours and have it read.
Give a prescription for isoniazid. 300 mg daily for 2 weeks. and send him home.
Decreased shortness of breath
Improved chest x-ray
Positive acid-fast bacilli in a sputum sample after 2 months of treatment.
To evaluate his condition
To determine his compliance
To prevent spread of the disease
To determine the need for antibiotic therapy.
Improves oxygen uptake
Increases carbon dioxide levels
Stabilizes carbon dioxide levels
Reduces amount of functional alveolar surface area