Published
I had a similar experience with a patient. The supervisor was mad we had to move the patient but then the patient coughed up a bloody lougie and I believe later on the TB was confirmed. Learned from the ID doctors in immunocompromised patients TB tests have a high false negative, as well.
nurs1ng
149 Posts
Received a patient who was diagnosed with N/V and PNA. White count and platelet count are critically elevated. She has a hx of esophageal cancer and is currently on chemotherapy.
When I did the TB risk screen, she states present problems of cough > 1 wk, fever/chills, hemoptysis and unexplained wt loss. So immediately notified the MD and transferred her in a negative pressure room to r/o TB.
However, I'm not sure if I did the right thing? Due to the fact that this pt already has esophageal cancer and getting chemo tx... so symptoms are probably from this?
Before admission, ER doc performed a CXR and saw infiltrates either in the RML or RLL.
Any feedback would be appreciated.