SPUTUM CULTURE Leave a Comment / Nursing Procedure / By nurseinfo.in SPUTUM CULTURE Collection of coughed out sputum for culture studies to identify respiratory pathogens Purpose To detect abnormalities To diagnose disease condition To detect the microorganisms causes respiratory tract infections To treat with specific antibiotics Characteristics of Sputum Quantity: normally, no sputum is expectorated the amount of sputum coughed up in 24 hours varies with the diseases Consistency: the sputum may be classified into various types according to its consistency and appearances, e.g. serous, frothy, mucoid, purulent, seropurulent and hemorrhagic Odor: normally the sputum is odorless in case of lung abscess; carcinoma and bronchiectasis the sputum will bed foul smelling Color: sputum consists of mucus it may be: Colorless and translucent Yellowish color – presence of pus Blackish sputum – excessive smoking Blood – hemoptysis Red and frothy sputum – freshly bleeding from lungs Rusty color – altered hemoglobin as seen in pneumonia Greenish color – bronchiectasis Brown color – gangrenous condition of the lungs If sputum examined microscopically, a few WBC and epithelial cells may be seen. Eosinophils are found in such conditions as asthma. RBC is found only when there is hemoptysis. The main organism that is looked for in stained sputum is tubercle bacilli (AFB) General Instructions Give water proof disposal sputum mug on the previous evening and instruct to raise the material from the lungs by coughing and not the saliva Collect the sputum in the morning Ask the patient to rinse the mouth with plain water. Do not use any antiseptic mouth washes If sterile specimens are required sterile bottle with cover is given to the patient Preliminary Assessment Check The doctors order for specific instructions General condition and diagnosis of the patient Self-care ability Mental status to follow instructions Articles available in the unit Preparation of the Patient and Environment Explain the procedure to the patient Arrange the articles at the bedside Provide privacy if needed Equipment Sterile sputum container Sputum mug or cup Tissue paper K-basin Procedure Instruct to collect specimen early morning before brushing teeth, to obtain overnight accumulated secretions Instruct to remove and place lid facing upward Instruct not to contaminate inside of lid and container, as well as outside of container Instruct to cough deeply and expectorate directly into specimen container Collect at least 10 ml of sputum Close the container immediately sputum is collected After Care Label the container with patients name date and hospital number Send specimen to laboratory immediately along with request Replace the equipment after cleaning Wash hands thoroughly Record the procedure in nurse’s sheets SPUTUM CULTURE – Purpose, Characteristics of Sputum, General Instructions, Preliminary Assessment, Preparation of the Patient and Environment, Equipment, Procedure, After Care Post navigation ← Previous PostNext Post → Leave a Comment Cancel Reply Your email address will not be published. Required fields are marked *Type here..Name* E-mail* WebsiteSave my name, email, and website in this browser for the next time I comment.