TB
Teaching for TB meds and OC
Use another method, as the meds will prevent them from working
2 things to include in teaching about iron supplements
with meals, with OJ, straw if liquid, cause black stools
Concerning SE of amphotericin B
numbness and tingling
2 general things teach about cancer drugs and interactions/ SE
avoid live vaccines, report signs of infection, good hygiene, good mouth care
instructions for nystatin lozenge
allow to dissolve completely
do not swallow!
2 reasons why we use multidrug therapy for TB
high risk of drug resistance
strong, effective, treatment plan
2 ways to know anemia is improving
improvement in sx
blood levels improving
Hydroxychloroquine instructions for malaria prophylaxis
begin 1-2 weeks before, continue 4 weeks after
cell cycle specific vs cell cycle non specific
Cell cycle specific: targets cells in a specific phase of the cell cycle
Cell cycle non-specific: affects cells in any phase
Instructions for PPD
inject intradermally
get it checked after 2-3 days
Length of treatment for active TB
At least 6 months
CENT for epoetin alfa
RBC stimulator
increases H &H
check labs, hold if Hgb >9
2 ways to decrease possible amphotericin B infusion reactions
premed, slow rate, use distal vein
why do we use multiple chemo drugs
work better together, different MOA, different times in the cell cycle, etc
what to do for extravasion?
stop med, leave IV in place.
2 ways to know TB meds are working
sputum spear and culture test
x-ray
decrease in sx
signs of IV iron infusion reaction
facial edema and wheezing
CENT acyclovir
antiviral
Herpes
not a cure, how to apply
2 things to include in neutropenia teaching
avoid large crowds
no fresh fruits
notify HCP for fever
2 things to teach for thrombocytopenia
soft toothbrush
avoid injury
no NSAIDS or anticoagulants
Rifampin weird but harmless SE
orange body fluids
why B12 as an injection instead of oral
people have B12 deficiency because of absorption problems, injection bypasses the digestive system
what med has an oral one-dose form to treat yeast
flucanozole
2 general SE of cancer drugs
pancytopenia, hair loss, stomatitis, nausea and vomiting
Ordered: 10mg/kg
On Hand: 250mg/ml
Pt weight: 200 pounds
How much do we give
3.6 ml