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Pyrazinamide
| Question | Answer |
|---|---|
| Pyrazinamide T/P | Antitubercular, antimycobacterial |
| Pyrazinamide adverse effects | Hepatotoxic, hyperuricemia, gout, G1 upset, rash, monitor uric acid, renal function, may be taken with food if stomach upset |
| Pyrazinamide report | Dark urine, jaundice, fatigue, N/V, appetite, gout/uric acid, joint pain/swelling, rash |
| Ethambutol T/P | ANti mycobacterial, helps prevent drug resistance |
| adverse effects of ethambutol | optic neuritis |
| Nursing considerations for ethambutol | Decreased visual acuity, altered red/green color discrimination, blurred vision. May take with food if GI upset. Monitor renal function. |
| Streptomycin | Antitubercular, aminoglycoside, second line defense for multi-drug resistance. Used with other antitubercular meds. |
| Adverse effects of streptomycin | Ototoxicity, nephrotoxicity, neuromuscular toxicity/blockade, injection site reaction, PMC, superinfection |
| Nursing safety for streptomycin | Monitor BUN, creatinine/eGFR and urine output. Monitory daily weights for kidney function. Monitor serum drug concentrations, trough levels before next dose to monitor accumulation. |
| Report streptomycin | Decreased urine output, rapid unexpected weight gain or edema, ringing/buzzing in the ears or decreased hearing, changes. |
| Pyroxidine | administered with INH, helps prevent neuropathy, high levels cna cause reverse neuropathy. |