VN16 TEST 3 STUDY GUIDE- DONE Flashcards
- RIFAMPIN (Ati infections lesson)
- uses
- adverse effects
- client education
Use: treatment of TB
Adverse effects: liver toxicity which can develop into hepatitis.
Client Education: Use non hormonal back up birth control. Red/orange sweat, tears, urine is normal. Wear glasses instead of contacts due to discoloration of tears. Report signs of jaundice.
No alcohol during therapy
- Ethambutol (pg.119 & TB med quick reference sheet)
- adverse reactions
Optic neuritis -Blurred vision or color changes
Anaphylaxis
Anorexia
- Isoniazid (Ati infections lesson & pg.119)
- adverse reactions
- contraindications
Adverse Reactions: hepatoxicity(jaundice of the skin & eyes, dark urine, vomiting, fatigue), peripheral neuropathy (numbness, tingling of the extremities)
Contraindications: clients w/severe liver damage, hepatic & renal impairment
remember INH Interferes w/absorption of b6,Neuropathy numbness, hepatotoxicity
- Drug interactions w/antiretroviral medications (pg.134)
- antifungals
- rifampin
- fentanyl
- oral contraceptives
- opioid analgesics
- clarithromycin
- sildenafil
- anticoagulant
- anticonvulsant
- antiparasitic agents
- interleukins
- Ritonavir (HIV pg.134 ford, pg.346 ATI)
- adverse effects
- drug interactions
AE:altered taste, nausea & vomiting, hyperglycemia,elevated blood lipids(hyperlipedimia).
Drug interactions:
- sildenafil
- opioid analgesics
- fentanyl
- rifampin
- oral contraceptives
- interleukins
- clarithromycin
- antifungals
- st johns wort
- Acyclovir(ATI infections lesson& ATI pg.341&342)
- uses
- nursing considerations
USES: herpes zoster (shingles), varicella(chicken pox)
CONSIDERATIONS: Caution in clients who suffer from dehydration or renal insufficiency or neurological disorder.
-Buccal forms use w/caution in those w/milk protein hypersensitivity.
7.Nystatin (antifungals pp. Slide 8&11)
client education
Shake well, swish for as long as possible & swallow.
Remove & soak dentures in medication.
-take medication daily & avoid missing doses
-keep taking even if symptoms subside. up to 48 hrs after
-inspect mucous membranes frequently for irritation
- Metronidazole(pg.152)
- drug interactions
- antacids
- cimetidine
- digoxin
- iron
- phenobarbital
- warfarin
- quinine
- Common adverse reactions of antifungals (pg.145)
Abdominal pain, vomiting, diarrhea, nausea,rash, burning
- Amphotericin B (abelcet)
- adverse reactions (in class drug card)
Nephrotoxicity(low bun & creatinine levels), hepatoxicity
- Quinine( antifungal pp slide 21)
- adverse reactions
- ototoxicity
- visual disturbance(change in vision, color)
- gastrointestinal
- cinchonism
- Cinchonism(antifungals pp.slide 22)
- manifestations
- tinnitus
- blurred vision
- dizziness
- flushing
13.Risk factors of Tb(pg.117)
- HIV positive
- recent contact w/active TB cases
- xray shows old TB
- organ transplant clients
- traveling from countries where TB is prevalent
- IV drug users
- Residents/employees of high risk living settings like long term care or hospitals
- lab personnel working w/mycobacteria
- children under 4 yrs up to adolescents exported to high risk adults.
- Immunosuppressed clients
14.Latent TB(pg.116)
Inactive tb in the body, which is alive but non infections and can become active later.
- MMR vaccine
- Nursing considerations
Not okay in pregnancy, but administer before discharge
