TEST 3 - ANTI-TUBERCULOSIS DRUGS

Question 1

TB IS MOST COMMON IN ___________________ PATIENTS

Answer 1

IMMUNOSUPPRESSED PATIENTS

ALSO IN PERSONS LIVING IN HEAVILY POPULATED, CROWDED AREAS

Question 2

ISONIAZID - INH

Answer 2

• DRUG OF CHOICE FOR TB
• COMMONLY USED WITH RIFAMPIN
• USUALLY PRESCRIBED IN COMBO WITH RIFAMPIN RIGHT AWAY, ONCE CULTURES ARE RECEIVED THERAPY IS HONED IN
• WATCH FOR SLOW ACETYLATORS (SLOW METABOLISM)
• WATCH FOR KIDNEY PROBLEMS
• ADVERSE EFFECT:
  PERIPHERAL NEURITIS*** VIT-B MAY
  HELP
• DON’T TAKE WITH ANTACIDS

Question 3

NURSING IMPLICATION FOR ANTI-TB

Answer 3

• MONITOR ADHERENCE CAREFULLY. PERSONS MAY BE HOSPITALIZED IN ORDER TO ENSURE COMPLIANCE
• MUST TAKE UP TO 24 MONTHS
• CONTAGIOUS AT BEGINNING
• NO ALCOHOL BC HARD ON LIVER
• PYRIDOXINE COMBATS NEURO ADVERSE EFFECTS OF INH
• LACK OF THERAPEUTIC RESPONSE CAN OCCUR BECAUSE OF DRUG RESISTANCE, NOT ONLY NON-COMPLIANCE
• PERIPHERAL NEURITIS*** VIT-B MAY HELP

Question 4

RIFAMPIN

Answer 4

• TURNS URINE, STOOL, SALIVA, SPUTUM, SWEAT & TEARS ORANGE

* INTERACTS WITH ORAL CONTRACEPTIVES BC ITS AN ANTIBIOTIC

Question 5

TB TEST IS POSITIVE BY ENDURATION NOT ERYTHEMA

Answer 5

SO SIZE NOT REDNESS

Question 6

IF SOMEONE’S HAD VCB (VACCINE AGAINST TB) THEY WILL ALWAYS TEST ________ FOR TB

Answer 6

POSITIVE

BC THEY HAVE ANTIBODIES