TB Drugs
Name the four 1st line drugs for treatment of TB
Pyranzinamide, Isionazid, Rifampin, ethambutol
Relaxes the smooth muscles in the airway
This class of drug works how?
reducing airway inflammation and suppressing mucous production
How do these drugs work?
Thins and assists the flow of secretions
A nurse is caring for a client it active tuberculosis that is noncompliant with the medication regimen. What is the nurses best action?
DOT
When should the client's be told to take these medications?
The client is receiving Ipratropium. What class of medication is this and what is a common side effect?
Anticholinergic- dry MM, hoarseness, constipation
Name one corticosteriod
beclamethasone, prednisone, methylprednisolone, celestone
A client with a chronic dry cough would benefit from this class or drugs? T or F
False
Name a primary prevention method for clients with early COPD
Smoking cessation, vaccinations, etc
AST/ALT
5 min
A client with diabetes is prescribed prednisone. The nurse can expect this medication to effect the client how?
Steroids can increase blood sugar by causing the liver to release more glucose
Why is this drug contraindicated in a client with asthma?
What is emphysema caused by?
Impaired gas exchange causes by overextended alveoli
How long is the initial phase of treatment for active TB?
8 weeks.
A nurse is caring for a client with a RR of 32 that reports shortness of breath and an O2 sat of 80%. Which is the first medication this client will likely receive?
Beta 2- Albuterol
A safe and effective anti-imflammtory agent that can be given to kids and taken daily is:
montelukast (singular)
Name one mucolytic drug
acytelcysteine, carbocysteine, erdosteine
A nurse is caring for a client receiving a TB skin test. What size needle should the nurse use?
1/2 inch, 27/28 gauge
Name one medications the nurse should assess for interactions with the TB medication rifampin?
oral hypoglycemics, beta blockers, oral hyperglycemic agents, anticoagulants
After the client has received Albuterol, the client's vital signs are as follows- BP 145/78, RR 22, HR 110, Sat 93%. The nurse's next steps are:
Continue to monitor the client.
Prednisone is not used for long period if possible- why?
Can lead to bone loss. Retains Na and water leads to weight gain.
After administering a mycolytic agent, the nurse evaluates the effectiveness as evidenced by what clinical manifestations?
What are the late clinical manifestations of COPD
Clubbing and pale MM