اوردر ها:

1. Admit to:
2️⃣ Impression: Active Pulmonary Tuberculosis
3️⃣ Condition:
4️⃣ Vital Signs:
5️⃣ Activity:
6️⃣ Nursing: Respiratory isolation.
7️⃣ Diet:

8️⃣ داروها :


Pulmonary Infection:
Six Month Regimen: Two months of isoniazid, rifampin and pyrazinamide daily, followed by 4 months of isoniazid and rifampin daily OR Two months of isoniazid, rifampin and pyrazinamide daily, followed by 4 months of isoniazid and rifampin twice weekly.

Nine Month Regimen (for hilar adenopathy only):
Nine months of isoniazid and rifampin daily OR one month of isoniazid and rifampin daily, followed by 8 months of isoniazid and rifampin twice weekly.
Directly observed therapy should be considered for all patients. All household contacts should be tested.

Tuberculosis Prophylaxis for Skin Test Conversion:
Isoniazid-susceptible: Isoniazid (Laniazid) 10 mg/kg/day (max 300 mg) PO qd x 6-9 months.
Isoniazid-resistant: Rifampin (Rifadin) 10 mg/kg/day (max 600 mg) PO qd for 9 months.
9. Extras and X-rays: CXR PA, LAT, spinal series.

آزمایشات : CBC, SMA7, liver panel, HIV antibody, ABG. First AM sputum for AFB x 3 (drug sensitivity tests on first isolate). Gastric aspirates for AFB qAM x 3. U