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Phamocology Test 2
drug cards
| Question | Answer |
|---|---|
| Peak | highest concentration of a drug in the bloodstream indicating the maximum therapeutic effect. (Check 1hr or more after admin). |
| Troph | (trough level) lowest concentration of drug in the bloodstream. (Check before the next dose is administered). |
| C&S | Culture and sensitivity: Must be done before IV antibiotic therapy. (Determines microorganism causing the infection). |
| Diarrhea | Normal intestinal bacteria being destroyed |
| Superinfection | (secondary infection) occurs during or after antibiotic treatment Ex: C. diff, thrush, candida albicans (yeast), vaginal discharge. |
| eosinophils | Fights off infections and contributes to allergic reactions |
| Aminoglycosides: Example and Usage | 1. Amikacin, Gentamicin, Streptomycin, Tobramycin. 2. Used when penicillin CANNOT be. Ends in "micin" |
| Aminoglycosides: Indications | 1. Treats serious aerobic (requires O2) gram- infections 2. Used primarily when penicillin has not worked or is contraindicated. 3. Used in surgical cases |
| Aminoglycosides: Adverse Reaction | Not given orally due to poor oral absorption 1. Nausea, vomiting, diarrhea 2. Muscle paralysis (priority reaction) |
| Aminoglycosides: Associated Labs | Renal function (BUN, Cr), C&S, Peak, Troph, Electrolytes -> when given via IV |
| Aminoglycosides: Nurse Considerations | Monitor: signs of new/superinfections (ex: C. diff,), Ototoxicity (irreversible), Nephrotoxicity (reversible), Longterm use leads to liver cirrhosis, DO NOT used with penicillin, Causes fetal harm, DO NOT BREASTFEED, Potential for warfarin toxicity |
| Aminoglycosides: Patient Education | Drink plenty of water (2,000 - 3,000 extra mL per day) to decrease accumulation of drug in kidneys |
| Penicillin: Examples and Usage | 1. Amoxicillin = Augmentin, Piperacillin, Ampicillin = Unasyn (end in "cillin") 2. Mostly effective against gram+ infections and disrupts cell wall synthesis 3. Treats many infections (mostly ear infections) |
| Penicillin: Adverse reactions (besides nausea, vomiting, and diarrhea) | Angioedema (lips/tongue swell), Steven Johnson Syndrome, skin rash, urticaria (hives), pruritus (itching), phlebitis |
| Penicillin: Associated Labs | May elevate Liver Function (ALT/AST) when given IV |
| Penicillin: Nursing Considerations | 1. Give with full glass of water on empty stomach 2. Acidic juice destroys penicillin 3. Use caution if allergic to cephalosporin or taking beta blockers 4. Phlebitis at injection site 5. Monitor for anaphylaxis and superinfections (thrush/yeast) |
| Penicillin: Patient Education | 1. May decrease effectiveness of birth control pills. Use extra method 2. May increase effectiveness of coumadin |
| Penicillin: Extra Precautions (Black Box) | 1. Cross sensitivity to Cephalosporins: 10% allergic to penicillin = reaction to cephalosporins 2. Adjust dose in renal impairment (reduces accumulation and toxicity) 3. Check for BLEEDING -> if on anticoagulants, increased INR is possible with coumadin |
| Steven Johnson Syndrome (SJS) | Flu-like symptoms, purple/red BLISTERS on the back and neck, decreased blood pressure, and throbbing joints |
| Cephalosporins: Examples and Uses | 1. 1st generation: Ancef, Keflex (treats gram+) 2. 3rd generation: Cefobid, Cefzil, Claforan, Fortaz, Rocephin 3. Broad spectrum treatment for many different types of bacterial infections |
| Cephalosporins: Adverse reactions (besides of nausea, vomiting, and diarrhea) | C. diff, Pain at IM site, Phlebitis at IV site, SJS |
| Cephalosporins: Associated Labs | Renal function (BUN, Cr) when given IV |
| Cephalosporins: Nursing Considerations | 1. Cross reaction in those allergic to penicillin 2. May decrease effectiveness of birth control |
| Cephalosporins: Patient Education | 1. Drink plenty of fluids 2. Avoid alcohol and OTC cough syrups to eliminate Antabuse-like reaction 3. Report rash, swelling, or pain at the IV/IM site |
| Cephalosporins: Black Box | 1. Reports of burning or pain at IV administration, stop infusion immediately. 2. No alcohol during and 72 hrs after treatment (Antabuse effect) |
| beta Lactams/Carbapenems: Examples and Uses | 1. Azactam 2. Broad spectrum antibacterial agent used similarly to penicillin 3. Can be given IM/IV |
| beta Lactams/Carbapenems: Adverse reactions (besides nausea, vomiting, and diarrhea) | Rash, Increased sweating, C. diff, Possible drug induced seizures |
| beta Lactams/Carbapenems: Associated Labs | Renal function (BUN Cr), Liver function (ALT/AST), C&S when given IV, Decreases valproic acid levels = increased seizures, May decrease hemoglobin and hematocrit levels (H&H) |
| beta Lactams/Carbapenems: Nursing Considerations | 1. Do NOT give with aminoglycosides 2. Use cautiously when allergic or sensitive to penicillin and cephalosporin 3. Small risk of drug induced seizures |
| beta Lactams/Carbapenems: Patient Education | 1. Do NOT take with fruit juice or carbonated beverages 2. Drink plenty fluids 3. Notify provider of GI upset |
| beta Lactams/Carbapenems: Black Box | 1. Nephrotoxicity if combined with aminoglycosides 2. Monitor for seizures in those with history of CNS disorders or renal dysfunction |
| Chelation Rule | minerals/supplements that binds medicine to the gut and makes it difficult to absorb. |
| Fluoroquinolones/Quinolones: Cheat Sheet | Flox the tendons fear the sun, avoid dairy, and stops if pain starts. |
| Fluoroquinolones/Quinolones: Examples and Uses | 1. Cipro = ciprofloxacin, Levaquin = levofloxacin, Moxifloxacin 2. Broad spectrum antibiotic used to treat bronchitis, pneumonia, and UTIs 3. Ends in "floxacin" |
| Fluoroquinolones/Quinolones: Adverse reaction (besides nausea, vomiting, and diarrhea) | SJS, tendon rupture |
| Fluoroquinolones/Quinolones: Associated Labs | Renal function (BUN Cr), Liver function (ALT/AST), when given via IV. May decrease glucose levels |
| Fluoroquinolones/Quinolones: Nursing Considerations | 1. Drink plenty fluids (prevent crystalluria) 2. Give 1hr prior or 2hrs after meals/other meds 3. DO NOT give to Peds 4. Avoid in clients with heart rhythm disturbances (prolongs QT interval/aortic aneurysm) 5. Seizures 6. Can affect Vitamin K synthe |
| Fluoroquinolones/Quinolones: Patient Education | 1. May discolor urine 2. Use sunscreen due to photosensitivity 3. No dairy or tube feeding (reduces absorption) 4. Avoid caffeine and antacids. 5. Avoid iron, zinc, magnesium, aluminum, and Carafate a minimum of 2hrs before or 2hrs after taking |
| Fluoroquinolones/Quinolones: Black Box | 1. Peripheral neuropathy (may be permanent), monitor for tingling or numbness 2. Do NOT give to Peds due to risk of joint/tendon issues 3. Absorption is significantly reduced with dairy, iron, antacids, and Carafate |
| Cyclic lipopeptide: Examples and Uses | 1. Daptomycin (cubicin) 2. Treats severe gram+ bacterial infections including MRSA (used for skin/skin structure infections and bacteremia associated with endocarditis) |
| Cyclic lipopeptide: Adverse reactions | Rhabdomyolysis (muscle breakdown) |
| Cyclic lipopeptide: Associated Labs | Creatine Phosphokinase (CPK) |
| Cyclic lipopeptide: Nursing Considerations | Should NOT be given to patients with pneumonia |
| Oxazolidinones: Examples and Uses | 1. Zyvox 2. Used to treat infections associated with VRE or MRSA |
| Oxazolidinones: Adverse Reactions (besides nausea, vomiting, and diarrhea) | Headache, C. diff, Altered taste, Vein irritation, Insomnia, Optic neuropathy |
| Oxazolidinones: Associated Labs | Renal function (BUN Cr), Liver function (ALT/AST) when given via IV, May decrease glucose, May decrease platelets |
| Oxazolidinones: Nursing Considerations | Monitor for serotonin syndrome in those taking MAOIs, SSRIs, TCAs |
| Oxazolidinones: Patient Education | 1. Patients need to consume small, frequent meals while taking 2. immediately report vision changes 3. Monitor for thigh and calf pain (lactic acidosis) |
| Oxazolidinones: Black Box | 1. Prolonged use = increased optic neuropathy risk 2. NOT 1st LINE, only use when resistance is suspected 3. Serotonin Syndrome symptoms include agitation, confusion, tremor/muscle rigidity, hypothermia |
| Sulfonamides: Examples and Uses | 1. Bactrim, Septra 2. Bacteriostatic = inhibits folic acid synthesis 3. Treats many infections: UTIs, ear, ulcerative colitis |
| Sulfonamides: Adverse Reactions (besides nausea, vomiting, diarrhea) | SJS, Headache, Stomatitis (stomach, tongue, lips), delayed cutaneous reaction, photosensitivity. |
| Sulfonamides: Associated Labs | Renal Function (BUN Cr), Liver Function (ALT/AST), Leukopenia (may be confused for a cold), Thrombocytopenia (platelet count less than 100,000) |
| Sulfonamides: Nursing Considerations | 1. Use caution with anyone who is allergic to sulfa products 2. Increases Dilantin levels |
| Sulfonamides: Patient Education | 1. Do NOT take pregnant/give to infants under 2 months 2. Use alternative form of birth control (condoms) 3. Take with a full glass of water 4. Avoid prolonged exposure to the sun |
| Sulfonamides: Black Box | 1. May falsely present a cold (leukopenia symptoms = fever, fatigue, sore throat, cough) 2. May cause kernicterus (bilirubin toxicity) during pregnancy and infancy 3. Monitor for signs of increased Dilantin (phenytoin) = toxicity |
| Tetracyclines: Examples and Uses | 1. Tetracycline, Doxycycline 2. Used to treat bacterial infections like Rocky Mountain spotted fever, Lyme disease, acne in adolescents/adults 3. Kills bacteria out right and stops the growth |
| Tetracyclines: Adverse Reactions (besides nausea, vomiting, and diarrhea) | 1. Vertigo 2. Thrombophlebitis at IV site 3. Photosensitivity |
| Tetracyclines: Associated Labs | 1. Liver function (ALT/AST) when given via any route during long term use 2. Increases BUN levels depending on dosage |
| Tetracyclines: Nursing Considerations | 1. Give 1hr before or 2hrs after meals 2. Give with full glass of water and sit them upright for a 30 mins 3. NO DAIRY (chelation rule: magnesium, metal, milk, minerals) 4. Must only use Doxycycline if a renal patient |
| Tetracyclines: Patient Education | 1. Photosensitivity: use sunscreen 2. Take on empty stomach/avoid dairy 3. Avoid if pregnant/nursing/under 8 years old (teeth discoloring) 4. Avoid iron/calcium supplements, MVIs, antacids, laxatives within 2hrs of use due to decreased effectiveness |
| Tetracyclines: Black Box | 1. Permanent teeth discoloration in children under 8 2. Extreme sun sensitivity 3. Chelation rule: separate from supplements and laxatives 4. May potentiate anticoagulants and weaken oral contraceptives |
| Macrolides: Examples and Uses | 1. Erythromycin, Azithromycin = zithromax, Clarithromycin = biaxin, Fidaxomicin = C. diff treatment 2. Work horse for respiratory infections 3. End in "mycin/micin" |
| Macrolides: Adverse reaction (besides nausea, vomiting, and diarrhea) | 1. GI bleed 2. Tinnitus 3. QT prolongation 4. Abnormal Taste 5. Decreased appetite |
| Macrolides: Associated Labs | Renal Function (BUN Cr), Liver function (ALT/AST) when given IV, potentiates Tegretol, Digoxin, Coumadin, and Theophylline effectiveness/levels as well as sedative effects of medications |
| Macrolides: Nursing Considerations | 1. Use cautiously in those taking sulfonamides and theophylline 2. Concurrent use of simvastatin/lovastatin with clarithromycin or erythromycin is not recommended |
| Macrolides: Patient Education | 1. Photosensitivity = exaggerated sunburn (use sunscreen) 2. Drink plenty fluids 3. Take on empty stomach when possible 4. Use another form of birth control (condoms) |
| Macrolides: Black Box | 1. DO NOT TAKE WITH STATINS = muscle toxicity 2. Serious interactions with sulfonamides/theophylline 3. QT prolongation/risk of arrhythmia (chest pains, dizziness, or palpitations = assess) 4. Potentiates levels of several drugs (monitor for toxicity) |
| Lincosamides: Examples and Uses | 1. Lincomycin = lincocin, Clindamycin =cleocin 2. Treats several different infections 3. All Enterobacteriaceae are RESISTANT TO CLINDAMYCIN |
| Lincosamides: Adverse reaction (besides nausea, vomiting, and diarrhea) | 1. C. diff 2. Phlebitis at IV site 3. Blood dyscrasias 4. Hypotension 5. Pseudomembranous colitis (antibiotic associated colitis) 6. Vertigo |
| Lincosamides: Associated Labs | 1. Decreased leukocytes, eosinophils, platelets 2. Liver function (ALT/AST) when given IV |
| Lincosamides: Nursing Considerations | 1. Bitter taste 2. Thin layer for topical application |
| Lincosamides: Patient Education | 1. Drink plenty fluids 2. Take with or without meals 3. Use alternative birth control (condoms) |
| Lincosamides: Black Box | 1. Caution with GI history: high C. diff risk with Clindamycin due to colitis 2. Topical formulations are flammable: emphasize fire safety 3. Follow with water or mix with small food if allowed to alleviate bitter taste |
| Glycopeptide: Examples and Uses | 1. Vancomycin, Bleomycin 2. Vancomycin (IV only) = most popular 3. Treats multi-resistant MRSA/enterococcal infections resistant to beta-lactams 4. Inhibits bacteria cell wall formation by stopping peptidoglycan synthesis 5. End in "mycin/cin" |
| Glycopeptide: Adverse reaction | 1. Redman syndrome = flat, red rash on neck and upper torso 2. Nephrotoxicity 3. Neutropenia 4. Deafness (reversible)/ear ringing = stop, check troph, notify Dr. |
| Glycopeptide: Associated Labs | 1. Peak (25-50) and Troph (10-20) 2. BUN Cr / GFR 3. Platelets |
| Glycopeptide: Nursing Considerations | 1. Phlebitis at site 2. Fluid intake 3. Monitor reactions/labs |
| Glycopeptide: Patient Education | 1. Drink plenty fluids 2. Report any signs/symptoms of reactions 3. Labs are important |
| Glycopeptide: Black Box | 1. Redman Syndrome = rapid infusion - always infuse Vancomycin slow (over 60-90 mins) 2. Hearing checks for long term users/high doses 3. Rotate site/access often (prevents phlebitis) 4. Adjust dose in renal patients - based on troph/kidney function |
| Antifungals: Examples and Uses | 1. Amphotericin B, Diflucan, Monistat, Nizoral, Mycostatin, Nystatin 2. Treats fungal infections |
| Antifungals: Adverse reaction | 1. Malaise (tired) 2. Headache 3. Lack of appetite/dyspepsia (acid reflux/indigestion) 4. Angioedema (facial edema) 5. Hepatoxicity 6. Nephrotoxicity |
| Antifungals: Associated Labs | WHEN GIVEN IV 1. Potassium - hypokalemia 2. Magnesium - hypomagnesemia 3. Renal (BUN, Cr) 4. Liver (ALT/AST) |
| Antifungals: Nursing Considerations | 1. Protect Amphotericin B from sunlight - cover package/tubing 2. Monitor for fever/chills after IV admin 3. Phlebitis at site 4. Use cautiously when taking steroids |
| Antifungals: Patient Education | 1. May cause gynecomastia in long term use 2. NO TOOTHPICKS - may increase incidence of bleeding 3. Practice good oral hygiene 4. Consume small, frequent meals 5. Swish and swallow |
| Antifungals: Black Box | 1. Rotate sites and infuse slowly to prevent phlebitis 2. Premedicate if ordered for fever and chills post IV dose 3. May increase fungal resistance/toxicity if taking steroids |
| Antihelmintics: Examples and Uses | 1. Provan, Vermox, Albendazole, Praziquantel (specific medications treat specific infections) 2. Dewormer 3. Destroys amebiasis, roundworms, hookworms, pinworms |
| Antihelmintics: Adverse reaction (besides nausea, vomiting, and diarrhea) | 1. Abdominal bloating 2. Anorexia |
| Antihelmintics: Associated Labs | Sampling stool, blood, urine, sputum, or tissue for ova/larva |
| Antihelmintics: Nursing Considerations | STRICT HANDWASHING |
| Antihelmintics: Patient Education | 1. Treat entire family regardless of who is infected 2. Wash utensils and linen in hottest water possible 3. Vermox is most effective when chewed and taken with fatty meals |
| Antihelmintics: Black Box | 1. Reinfection = common. Stress personal/environment hygiene 2. Asymptomatic carrier can infect too, treat ALL in close contact 3. Fatty meals improve absorption 4. DO NOT use OTC dewormers unless instructed (specific meds treat specific infections) |
| Antimalarials/Antiprotozoals: Examples and Uses | 1. Plaquenil (hydroxychloroquine), Quinine (qualaquin) 2. Treats malaria |
| Antimalarials/Antiprotozoals: Adverse reaction (besides nausea, vomiting, and diarrhea) | 1. Tinnitus 2. Orthostatic hypotension 3. Increase thirst 4. Leg cramps |
| Antimalarials/Antiprotozoals: Associated Labs | 1. G6PD test for African Americans/Mediterranean descent prior to admin (detects myosteniogravis/muscle breakdown) 2. Liver Function (ATL/AST) |
| Antimalarials/Antiprotozoals: Nursing Considerations | 1. May lower seizure threshold depending on dose and duration 2. No antacids within 4hrs of admin 3. Check for depressed deep tendon reflex if long term use |
| Antimalarials/Antiprotozoals: Patient Education | 1. If only taken weekly, take on the same day around the same time 2. Take with food |
| Antimalarials/Antiprotozoals: Black Box | 1. Risk of neurotoxicity: assess deep tendon reflexes 2. Use caution in those with seizures (lowered threshold) 3. Antacids interfere with absorption (separate by 4hrs) 4. Test G6PD deficiency to avoid hemolytic anemia |
| Antiparasitics: Examples and Uses | 1. Lindane (Kwell), RID, NIX 2. Causes paralysis amd death of parasite, particularly lice and scabies, by attacking the nervous system 3. Treats pubic/body lice |
| Antiparasitics: Adverse reaction | 1. Skin irritation (itching/burning) 2. Transient dizziness 3. Most adverse effects are due to product misuse |
| Antiparasitics: Associated Labs | NONE |
| Antiparasitics: Nursing Considerations | 1. Use cautiously in those with seizures 2. Ensure skin is cool prior to application |
| Antiparasitics: Patient Education | 1. TREAT ENTIRE FAMILY NO MATTER WHO IS INFECTED 2. May take several treatments and combing to collect eggs and dead parasites 3. Follow directions for application/removal |
| Antiparasitics: Black Box | 1. Lowers seizure threshold 2. DO NOT APPLY TO WARM/IRRITATED SKIN 3. Multiple treatments may be needed 4. Hygiene/environment can prevent reinfestation |
| Antivirals: Examples and Uses | Treatment for herpes, varicella, hepatitis = Zovirax (herpes), Adefovir, Famvir, Valtrex, Valacyclovir (IV slowly for herpes) - Tamiflu (influenza) - Ribavirin (RSV) - avoid alcohol - Viruses usually have to run its course (antivirals are NOT antibioti |
| Antivirals: Adverse reaction (besides nausea, vomiting, and diarrhea) | 1. Anorexia 2. Rash 3. Headache 4. Orthostatic hypotension 5. Nephrotoxicity 6. Bone marrow suppression |
| Antivirals: Associated Labs | 1. Renal (BUN, Cr) 2. Liver (ALT/AST) |
| Antivirals: Nursing Considerations | Care is supportive in nature: based on signs, symptoms, severity |
| Antivirals: Patient Education | 1. No unprotected sex while being treated 2. Increase fluids 3. Don gloves when applying ointment 4. Practice good hand hygiene |
| Antivirals: Black Box | 1. Hydration = Key (prevents crystalluria and supports kidney function) 2. Most antivirals DO NOT CURE 3. Antivirals like Tamiflu are most effective when started within 48hrs of symptoms |
| Antiretrovirals (includes Protease Inhibitors/Reverse Transcriptase Agents): Example and Uses | 1. Protease Inhibitors (PI) = Kaletra, Crixivan, Ritonavir 2. Reverse transcriptase inhibitor (RTI) = Combivir, Sustiva 3. Treats HIV/AIDS: works on RNA to prevent replication 4. HAART: Highly Active Antiretroviral Therapy = multiple agents at same tim |
| Antiretrovirals (includes Protease Inhibitors/Reverse Transcriptase Agents: Adverse reaction | 1. Nausea, vomiting, diarrhea 2. Altered taste 3. Insulin resistance |
| Antiretrovirals (includes Protease Inhibitors/Reverse Transcriptase Agents): Associated Labs | 1. Renal (BUN, Cr) 2. Liver (ALT/AST) 3. Viral load (200+ means AIDS/-200 means HIV) 4. CD4 |
| Antiretrovirals (includes Protease Inhibitors/Reverse Transcriptase Agents): Nursing Considerations | 1. Give 1hr before or 2hrs after Videx 2. Exacerbation of diabetes, immunosuppression, paresthesia 3. Anemia and spontaneous bleeding in the joints 4. Alterations in sleep = insomina/abnormal dreams |
| Antiretrovirals (includes Protease Inhibitors/Reverse Transcriptase Agents): Patient Education | 1. No mixing with juice or acidic fluids and take with food 2. NO ALCOHOL 3. 48oz of fluids per day 4. DO NOT USE WITH ST. JOHN'S WORT 5. No antacids or iron unless physician cleared 6. Body fat redistribution 7. Decreases effectiveness of birth co |
| Antiretrovirals (includes Protease Inhibitors/Reverse Transcriptase Agents): Black Box | 1. Monitor for signs of anemia/immunosuppression while taking 2. Sleep disturbances = common 3. Monitor glucose, especially with PI 4. Seperate dosing from Videx (1hr before or 2hrs after) |
| Anti-tubercular: Examples and Uses | 1. Treats tuberculosis 2. Isoniazid (INH) is the only drug recommended for prophylactic treatment (recommended duration = 1 year) 3. DO NOT give to over 35 due to high incidence of hepatitis |
| Anti-tubercular: Nursing Considerations | 1. DO NOT touch medication once opened 2. Pregnant women CANNOT treat those with TB (active or prophylactic) or chicken pox |
| Anti-tubercular (INH) Uses and Side effects: | Uses: Prophylaxis and treatment Side effects: hepatitis, peripheral neuropathy, hallucinations, slurred speech, NVD |
| Anti-tubercular (INH) Special notes: | 1. Avoid bananas, aged cheese, alcohol 2. Give with vitamin B6 to prevent neuropathy |
| Anti-tubercular (Rifampin): Uses and Side effects | Uses: Active TB treatment Side effects: drowsiness, numbness, transient hearing loss, vision disturbances, possible lethargy/unconsciousness, vertigo, nausea, discoloration of body fluids (red/orange), bleeding |
| Anti-tubercular (Rifampin): Special notes: | Do not wear contact lenses when receiving treatments and expect elevated glucose levels. Take on an empty stomach |
| Anti-tubercular (Ethambutol) Uses and Side effects: | Uses: Active TB treatment Side effects: dizziness, headache, confusion, dermatitis, abdominal pain, anorexia, optic neuritis, vision loss/changes in color perception |
| Anti-tubercular (Ethambutol) Special notes: | Baseline and regular eye exams required |
| Anti-tubercular (Pyrazinamide) Uses and Side effects: | Uses: Active TB treatment Side effects: photosensitivity, liver damage, gout, decreased clotting time, anemia |
| Anti-tubercular (Pyrazinamide) Special notes: | Monitor liver enzymes and uric acid levels |
| Anti-tubercular (Ethionamide) Uses and Side effects: | Uses: 2nd line TB treatment Side effects: Postural hypotension, depression, jaundice, NVD |
| Anti-tubercular (Ethionamide) Special notes: | Use caution in hepatic dysfunction |
| Anti-tubercular (Capreomycin) Uses and Side effects: | Uses: 2nd line TB treatment Side effects: Headache, ototoxicity, nephrotoxicity, abnormal liver functions, macro-papular rash, urticaria, muscle weakness/swelling, sterile abscesses/excessive bleeding at injection site |
| Anti-tubercular (Capreomycin) Special notes: | Monitor hearing and kidney function |
| TB treatment considerations: | 1. Monitor liver function with TB therapy 2. May be isolated/court-ordered to complete TB therapy if non-compliant. 3. Report numbness, vision changes, persistent nausea, jaundice, easy bruising immediately 4. No PPD test after conversion (chest X-ray) |
| TB treatment patient education: | 1. Take meds as prescribed (non-adherence = resistance) 2. DO NOT mix TB meds with others (includes topicals) 3. Avoid alcohol, aged cheese, bananas, fermented food 4. DO NOT touch meds once opened (gloves/tools) 5. Less effectiveness of birth control |
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dzanderia
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