Week 9: Chapter 10 Study Guide Flashcards
S/E or A/E of: isoniazid (INH)
Peripheral neuropathy
S/E or A/E of: rifampin (Rifadin, Rimactane)
Reddish-orange stain to secretions
S/E or A/E of: pyrazinamide (PZA)
Increased uric acid formation
S/E or A/E of: ethambutol (EMB, Myambutol)
Optic neuritis
For ringworm of the scalp, children may be prescribed the drug: ________________.
terbinafine (Lamisil)
A pt who is taking isoniazid should avoid _____________ to prevent hypertension.
Caffeine
A pts skin and urine may be stained _______________ when taking rifampin.
Orange
When taking a TB drug regimen, sever sunburn can be avoided by which measures:
Wearing protective clothing, a hat, and sunscreen.
The risk for liver toxicity when taking first-line anti-TB drugs is higher in _______________ populations
Older adult / pregnant women
A pt taking terbinafine (Lamisil) has a reduced WBC count and is at higher risk for ___________________.
Infection
Important for pts to see an ophthalmologist while taking this drug:
ethambutol
Can raise BP to dangerously high levels if taken with caffeine:
isoniazid
Can cause breast tenderness in males:
isoniazid
Teach pts that this drug colors the urine and other secretions reddish-orange:
rifampin
Reduces the PH or intracellular fluid inside WBCs that are infected with TB bacillus:
pyrazinamide
Can cause peripheral neuropathy, especially in pts who are malnourished:
isoniazid
Should not be taken by infants and young children even when they have active TB:
ethambutol
Is only bacteriostatic and must be used in combination with other anti-TB drugs to be effective:
ethambutol
Increases muscle aches and pains:
pyrazinamide
Increased sensitivity to sun and UV light:
pyrazinamide
My cause loss of appetite, difficulty concentrating, and sore throat:
ethambutol
Pregnant women need higher doses of B-complex vitamins while taking this drug:
insoniazid
Trade or brand name: Ancobon
flucystosine
Trade or brand name: Cancidas
caspofungin
Trade or brand name: Diflucan
fluconazole
Trade or brand name: Eraxis
anidulafungin
Trade or brand name: Fungizone
amphotericin B
Trade or brand name: Lamisil
terbinafine
Trade or brand name: Mycamine
micafungin
Trade or brand name: Nizoral
ketoconazole
Trade or brand name: Noxafil
posaconazole
Trade or brand name: Vfend
voriconazole
An older adult who is taking an echinocandin is at increased risk for developing deep vein thrombosis. Which interventions can help prevent this?
Venous sequential compression device Range of motion exercises Ambulation Ace bandage wraps to legs Adequate fluid intake
A pt says she stopped taking her medication to treat TB after a month, because she stopped coughing up blood. The pt should be instructed to continue taking the medication for how long?
At least 6 months
A pt who is taking several first-line medications to treat TB says he likes to drink several cans of beer after work every night. He is advised to stop drinking to avoid which A/E?
Permanent liver damage and failure
High doses of ethambutol (Myambutol) can cause optic neuritis. What visual changes might this include?
Reduced visual fields
Reduced color vision
Blurred vision
Before administering rifampin (RIF) you should assess for an allergy to which substance?
Sulfites
Which statement demonstrates that a patient understand the precautions necessary when taking rifampin (RIF) while on contraceptives?
I will use a second method until one month after I finish taking the rifampin
First-line anti-TB drugs are indicated for which patient?
Pregnant female with active TB
A pt with coccidioidomycosis has the antifungal drug amphotericin B (Fungizone) prescribed. Which are serious A/E to this medication?
Reduced kidney function
Wide spread skin flushing
Fever and chills
Before administering an azole antifungal agent, what should the nurse plan to do?
Give the medication at a different time as a proton pump inhibitor
Which patient teaching point is important to include for a pt taking ketoconazole (Nizoral)?
Wear protective clothing when in the sun
A child with tinea capitis has been prescribed terbinafine (Lamisil). The child should have this medication administered in which manner?
Orally
Which diet recommendation is most crucial to provide for a pt who is taking isoniazid to prevent peripheral neuropathy?
Increase the intake of B vitamins
A pt who is rx amphotericin B is also rx IV corticosteroids to reduce which possible A/E?
Blood vessel dilation
