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ACTIVE LEARNING TEMPLATE: Diagnostic Procedure STUDENT NAME PROCEDURE NAME Sputum specimen REVIEW MODULE CHAPTER Description
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Ans) Sputum specimen

Description of procedure:

- A sputum culture is a sample of the gooey substance that often comes up from your chest when you have an infection in your lungs or airways. Doctors use it to figure out what might be causing your illness, whether it's bacteria, a virus or something else.

Indications:

- Sputum culture is used to diagnose pneumonia, bronchiectasis, bronchitis, or pulmonary abscess. It assists in the diagnosis of respiratory infections, as indicated by the presence or absence of organisms in culture.

Nursing consideration:

- Patients should be advised to not clean their teeth or use a mouthwash before specimen collection as this may kill the bacteria. It is important to check that the sample contains sputum, as samples contaminated with oropharyngeal secretions and saliva are difficult to interpret and can be misleading .

Interpretation of finding:

- The most common pathogens detected with a sputum culture are bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus, and Klebsiella species. The presence of normal upper respiratory tract flora should be expected in sputum culture.

Client education:

- Take a very deep breath and hold the air for 5 seconds. Slowly breathe out. Take another deep breath and cough hard until some sputum comes up into your mouth. Keep doing this until the sputum reaches the 5 ml line (or more) on the plastic cup.

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