Exam 5 Flashcards
Mentoux Test
TB skin test 🫴🏽💉
TB prevention
One 💊 (isoniazid/INH)
Treatment 3-6m
3 negative sputum cx
TB Treatment
4 💊 until susceptibility
2-4 💊 after
Treatment- 6-24 months
3 negative sputum 🦠
Isoniazid (INH)
TB Rx
I- Interferes w/ B6 absorption (pyridoxine)
N- Neuropathy
H- Hepatotoxicity
Rifampin
TB Rx
RED- fampin
Red is ok, 🌝 is not (jaundice)
Wear 👓🤓 due to 🥵
Streptomycin
Old TB drug
Adverse-
💍 👂🏼ringing in ears
Kidneys- BUN/CR
Dyscrasias- cells decrease 🩸📉
CBC
Ethambutol 👀
TB Rx
Can cause blindness 🕶️😎👀
TB Nursing Implications
Needs back up BC 🤰🏽
Treatment- up to 24m
Hepatotoxic- LFT
CBC- cell count
Trough
Measurement for adequate renal clearance to avoid toxicity
🩸 draw right before next dose
If too high, notify Dr
Peak
30 min after IV-
gentamicin, tobramycin, amikacin
60 min after IV-
Vancomycin
Aminoglycosides
-mycin
Bactericidal- IV
Nephrotoxicity (kidneys)
Ototoxicity 👂🏼 (notify 👨🏻⚕️)
(Neomycin is PO or PR for gut)
Fluoroquinolones
-floxacin
Bactericidal treats:
STI & 🦴 infx
Adverse-
Long QT 🫀📈
Tendon Rupture 🦵🏽
Vancomycin
IV- +60 min
Redman if given too fast 🤬
Pretreat w/ Benadryl & APAP
Kidneys & 👂🏼
amphotericin B
Fungal systemic infection
First line- IV
Po is “ampho terrible”
Treatment 2wks-3mon
Caspofungin
Fungal Systemic infection
If unable to tolerate amphotericin B
Liver toxicity
