TB
TB
Antifungals
Antimalarial Etc.
Miscellaneous
100
What are three contraindications of antitubercular drugs?
Severe drug allergies, major renal dysfunction, & major liver dysfunction Page 662
100
Side effects of this antitubercular drug includes red-orange-brown colored urine, salvia, sweat & tears.
rifampin (Rifadin) Page 665
100
This antifungal drug causes many adverse effects. It is common to pretreat the patient with antipyretics and antiemetics.
amphotericin B Page 673
100
The drug praziquantel (Biltricide) might be indicated for a patient with an infestation of ______________________.
Flukes Page 688 Table 43.10
100
If a client is taking a helminthic medication, what would be a common lab test that would be appropriate after a round of treatment?
Stool samples---this is an infection cause by a worm----Page 687
200
Ethambutol (Myambutol) is contraindicated in patients with ________________________ because it can both cause this condition or exacerbate this condition.
Optic neuritis Page 664
200
Why is a TB patient normally started on a 4-drug regimen before the results of susceptibility tests are known?
The use of multiple medications decreases the possibility of the organisms becoming drug resistant. Page 662
200
Women using a topical antifungal for a vaginal infection should be taught to abstain from sexual intercourse until when?
Until treatment is completed and the infection is resolved. Page 677
200
What will the nurse teach her regarding prophylactic therapy with hydroxychloroquine (Plaquenil)?
Start medication 1-2 weeks before traveling and continue through 4 weeks after visiting an endemic area. Page 683
200
Why should a nurse get a food history from a client with a helminthic infection?
Meat and fish if not prepared properly might be how the worm entered its human host. Page 689
300
How might a nurse evaluate the successfulness of treatment for TB?
Decrease in cough and fever Patient is gaining weight (rather than losing weight) Improved chest x rays & lab Page 667
300
Major effects of drug therapy include the reduction of _________________________ and therefore, a reduction in the infectiousness of the patient.
Cough---TB is spread through droplets Page 662 *****For people that are in close personal contact with infectious patients, prophylactic treatment might be indicated. *****For people that have come in to contact with the person but was not in close personal contact, a TB skin test would be the first step---not starting medication.
300
This antifungal drug is used to treat invasive aspergillosis in clients who are intolerant of other antifungal drugs.
caspofungin (Cancidas) Page 674
300
Anthelmintic drugs are very specific in regards to the ______________ they can kill.
Worm Page 687 ***** For this reason the causative worm in the infected host must be accurately identified before treatment can begin.
300
36. These are antitubercular drugs that are reserved for more complicated cases such as those resistant to primary drugs.
Secondary (second line) Page 661
400
This drug that is used to treat TB can decrease the effectiveness of oral contraceptives. A nurse should teach the client that another form of contraception should be used while taking this drug.
rifampin (Rifadin) Page 668
400
This drug may be indicated to prevent isoniazid-precipitated peripheral neuropathies, numbness, tingling or burning of extremities.
pyridoxine (Vitamin B6) Page 668
400
What should clients be taught about nystatin lozenges?
Let the lozenge dissolve completely in the mouth. Page 678 *****Contraindicated for a child 5 years or younger
400
This is one of a few antimalarial drugs that can destroy the malarial parasites while they are in their exoerythrocytic phase.
Primaquine Page 683
400
This antifungal is used to treat fingernails & toenails.
Lamisil Page 673
500
Phenytoin (Dilantin) taken with this antitubercular drug will lead to the decreased metabolism of the phenytoin and an increased drug effect.
Isoniazid (INH) Page 664 Table 41.4 *****Why is that important? What is Dilantin used for?
500
What is the first step in the diagnosis of TB?
Skin test (Mantoux) Page 661 Box 41.1
500
What does a client need to know regarding contact lenses when taking rifampin (Rifadin)?
Due to the side effect of red-orange-brown tears, the contacts may become permanently stained. Page 668
500
Hydroxychloroquine is an antimalarial drug that is also used for _______________ and ______________________________.
Rheumatoid arthritis and systemic lupus erythematosus Page 682 *****Has anti-inflammatory actions
500
In 1944 this was the first drug to effectively treat TB. Today it is used mostly in a combination drug regiment for the treatment of multidrug-resistant TB infections.
Streptomycin Page 666
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