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84 Cards in this Set
- Front
- Back
Is O2 a med?
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Is O2 a med?
Yes |
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what does hazard mean?
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what does hazard mean?
Something Dangerous (Like black widow, poison, something hazardous) |
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what do we do first prior to doing anything else for a pt with pneumonia?
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what do we do first prior to doing anything else for a pt with pneumonia?
Give them Oxygen 2-3L |
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why do you explain the rules of oxygen safety to pt. with oxygen therapy?
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why do you explain the rules of oxygen safety to pt. with oxygen therapy?
It can explode. Tell them not to smoke, or drop them so they don’t blow up |
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What does the word Frayed mean?
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What does the word Frayed mean?
Coming apart |
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could a frayed cord spark O2?
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could a frayed cord spark O2?
Yes |
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if you saw a pack of cigs on a night stand of a pt who has O2, what would you do?
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if you saw a pack of cigs on a night stand of a pt who has O2, what would you do?
- look for lighter - confiscate the lighter |
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Why do we consider Candles, Cigarettes, and Frayed cords to be a hazard?
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Why do we consider Candles, Cigarettes, and Frayed cords to be a hazard?
Because they can cause a fire and explode |
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what types of pt are on Oxygen therapy?
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what types of pt are on Oxygen therapy?
Emphysema, COPD, asthmatic, pneumonia, heart pt, ventilator pt (Know all the reason) |
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What is Cyanotic?
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What is Cyanotic?
- blue cyanosis (bluish discoloration of the skin and mucous membranes due to not enough oxygen in the blood) |
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Do Nasal Cannula pt receive 100% O2?
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Do Nasal Cannula pt receive 100% O2?
no!! Mixed with room air |
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Why do we only administer 2-3 Liters of O2 to pt’s, unless we know what there respiratory status is?
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Why do we only administer 2-3 Liters of O2 to pt’s, unless we know what there respiratory status is?
- More O2 can cause a Decreased respiratory drive |
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What does Intractable cough cause?
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What does Intractable cough cause?
continuous (consistent) coughing that causes: no breathing and exhaustion |
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What type of drug is Dextromethorphan?
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What type of drug is Dextromethorphan?
Antitussives Dextromethorphan (Robitussin) chemically related to codeine; taken every 4-8 hours |
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Pt on Robitussin & Codeine is at risk for what & why?
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Pt on Robitussin & Codeine is at risk for what & why?
- at risk for respiratory depression - Respiratory depression because the codeine is a CNS depressant |
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pt who have coughing that disrupts sleep or makes them exhausted are given what kind of cough suppressant? (the most commonly used one)
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pt who have coughing that disrupts sleep or makes them exhausted are given what kind of cough suppressant? (the most commonly used one)
- Robitussin- Guaifenesin |
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1 tsp = 5mL
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1 tsp = 5mL
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what does Antitussive mean?
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what does Antitussive mean?
- slows down the cough - works against the cough |
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What type of drug is Tessalon (benzonatate)?
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What type of drug is Tessalon (benzonatate)?
Peripheral Acting Antitussive - works on the stretch receptors in the lungs (FYI: anesthetize stretch receptors in the resp. passages.) |
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What class drug is hydrocodone?
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What class drug is hydrocodone?
- opioid antitussive |
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when do you not give an antitussive?
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when do you not give an antitussive?
- when pt has a PRODUCTIVE cough |
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What is a common S/E of (any) Antitussives that you would tell your pt to monitor?
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What is a common S/E of (any) Antitussives that you would tell your pt to monitor?
- Drowsiness/ - N/V - Headache (codeine) - Can’t pee - Constipation |
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What type of drug is Mucomyst (aka acetylcysteine)?
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What type of drug is Mucomyst (aka acetylcysteine)?
Works on the mucus loosens secretion It is a Mucolytic |
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What do you do if you're giving mucomyst to a pt w/ a trach?
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What do you do if you're giving mucomyst to a pt w/ a trach?
-Suction- Acetylcysteine (mucomyst) when given into a tracheostomy tube requires a suction machine at the bedside for immediate removal of secretions |
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What adverse effect would you monitor for a pt on mucolytic drugs?
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What adverse effect would you monitor for a pt on mucolytic drugs?
- Bronchospasms |
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what does intubate mean?
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what does intubate mean?
Put a tube down the airway |
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Besides mucolytic, what other use is mucamyst for?
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Besides mucolytic, what other use is mucamyst for?
Antidote for a Tylenol overdose |
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How do you give mucamyst to a trach pt?
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How do you give mucamyst to a trach pt?
- give it directly through the trach (Acetylcysteine maybe directly instilled into a tracheostomy tube) |
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does robitussin AC have codeine?
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does robitussin AC have codeine?
Yes |
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while taking robitussin you teach pt to do what to loosen secretions?
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while taking robitussin you teach pt to do what to loosen secretions?
drink fluids- increase humidity- walk around |
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how does robitussin AC work?
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how does robitussin AC work?
Robitussin liquifies the mucous and codeine suppresses cough |
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What is seasonal rhinitis?
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What is seasonal rhinitis?
allergies (inflammation of nasal passages) |
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What is Clarinex?
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What is Clarinex?
2nd generation antihistamine |
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What is a common S/E of Clarinex?
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What is a common S/E of Clarinex?
drowsiness (take at night so you don’t get tired during the day) |
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What type of drug is Afrin?
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What type of drug is Afrin?
nasal spray (topical), (Decongestant), short term drug |
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What is Clarinex for?
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What is Clarinex for?
for seasonal allergies |
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What is rebound nasal congestion caused from?
What does rebound from nasal congestion mean? |
What is rebound nasal congestion caused from?
- overuse of nasal sprays What does rebound from nasal congestion mean? - Congestion is coming back into the nose |
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If pt’s antihistamines make them drowsy, what is your advice?
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If pt’s antihistamines make them drowsy, what is your advice?
Take it at night (before going to bed) |
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Pt is having acute asthmatic attack, what is the drug of choice?
Why? |
Pt is having acute asthmatic attack, what is the drug of choice?
- bronchodilators Why? - Because they are opening up your airway |
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What type of drug is Albuterol?
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What type of drug is Albuterol?
- Bronchodilator (#1 drug of choice for asthma pt’s) |
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how do you administer EPI to pt having asthma attack with bronchospasm?
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how do you administer EPI to pt having asthma attack with bronchospasm?
SubQ, using TB syringe (epi is a bronchodilator. AKA: adrenalin) |
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What type of drug is Alupent?
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What type of drug is Alupent?
- Short Acting B2 (Beta) Adrenergic Agonist Bronchodilator |
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What type of drug is AminoPhylline
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What type of drug is AminoPhylline
- Xanthine Derivative Bronchodilator |
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Why do we teach pt’s on B2 (beta adrenergic blocker) to take last does a few hours before bed?
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Why do we teach pt’s on B2 (beta adrenergic blocker) to take last does a few hours before bed?
- causes insomnia b/c it’s a B2 bronchodilator |
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What is a common S/E you would expect in IV AminoPhylline?
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What is a common S/E you would expect in IV AminoPhylline?
- s/e: Tachycardia |
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What is slow Theophylline?
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What is slow Theophylline?
- It’s a Xanthine derivative Bronchodilator |
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Can you drink large amounts of caffeine on bronchodilator (xanthine derivative)? Why?
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Can you drink large amounts of caffeine on bronchodilator (xanthine derivative)? Why?
- NO - B/c caffeine is a bronchodilator. Causes cardiac problems due to double dosing |
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what is the normal Theophylline lab values?
If the lab levals are elevated, what do you do? |
what is the normal Theophylline lab values?
10-20 mcg If the lab levals are elevated, what do you do? Stop the drug & notify the MD |
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When taking Theophylline, what abnormal S/E do we advise the pt to call there PCP about?
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When taking Theophylline, what abnormal S/E do we advise the pt to call there PCP about?
- tinnitus - Tachycardia - severe cramping - seizures - urticaria - dizziness |
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If Theophylline levels are high (beside stop the drug) what do you do?
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If Theophylline levels are high (beside stop the drug) what do you do?
- call MD - pt could become tachycardic - heart speeds up and give heart attack |
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Q1. what does corticosteroid inhaler do? (ICS)
Q2. post corticosteroids-what do you have to teach them to do afterwards |
Q1. what does corticosteroid inhaler do? (ICS)
- reduces inflammation Q2. post corticosteroids-what do you have to teach them to do afterwards - wash out mouth - gargle b/c it may cause a fungal infection / thrush - ICS suppresses the immunity in the mouth |
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why do pt use inhaled corticosteroids instead of taking systemic Prednisone?
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why do pt use inhaled corticosteroids instead of taking systemic Prednisone?
- Because inhalant goes straight to your lungs (fast acting, goes straight to the lungs) - Prednisone is systemic and goes all over |
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What type of drug is Salmeterol (Advair)?
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What type of drug is Salmeterol (Advair)?
- Inhaled Cortico Steriod (ICS) |
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Why do we monitor blood sugar when pt are on Inhaled corticosteroid (ICS)?
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Why do we monitor blood sugar when pt are on Inhaled corticosteroid (ICS)?
- Could cause hyperglycemia - check it via accucheck |
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Does short use of systemic corticosteriods (ICS) cause serious S/E?
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Does short use of systemic corticosteriods (ICS) cause serious S/E?
- NO - bc short use (7 days or less) (any more can cause systemic problems) |
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Q1. What is another name for Cromolyn?
Q2. how does Intal work? |
Q1. What is another name for Cromolyn?
Intal- Q2. how does Cromolyn work? -stabilizes aka: blocks the Mast Cells - prevents bronchospasms |
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What type of drug is Singulair?
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What type of drug is Singulair?
- Leukotriene receptor antagonists |
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what do u teach pt’s who are on Singulair and on daily does?
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what do u teach pt’s who are on Singulair and on daily does?
- take as prescribed - don’t stop abruptly - don’t alter dose |
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Is Singulair is a preventative drug for asthma?
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Is Singulair is a preventative drug for asthma?
- Yes (does not work during an asthma attack. |
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What is the drug of choice if pt is having an Asthma attack?
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What is the drug of choice if pt is having an Asthma attack?
- Albuterol (Bronchodialator) |
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what do you give after you give Albuterol (If it doesn’t open up airway)?
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what do you give after you give Albuterol (If it doesn’t open up airway)?
- ICS - cortico steroids (if it doesn’t work, then give O2) -open up airway and reduce swelling then give O2 |
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How do you know if your pts long term use of Xolair (Immunomodulator: Monocolonal Antibody) is working on his allergic Bronchospasms?
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How do you know if your pts long term use of Xolair (Immunomodulator: Monocolonal Antibody) is working on his allergic Bronchospasms?
pt has fewer episodes of Bronchospasms |
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What is another name for Albuterol?
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What is another name for Albuterol?
Ventolin and Proventil |
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Is Albuterol a Sympathomimetic Bronchodilator?
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Is Albuterol a Sympathomimetic Bronchodilator?
yes, it mimics the sympathetic system |
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What is the drug of choice that is a leukotriene receptor antagonist to prevent asthma?
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What is the drug of choice that is a leukotriene receptor antagonist to prevent asthma?
- SINGULAIR |
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T/F: Durring teaching process your pt states he exhales, then squeezes inhaler while inhaling (breathing in)
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T/F: Durring teaching process your pt states he exhales, then squeezes inhaler while inhaling (breathing in)
True |
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What is C&S?
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What is C&S?
culture and sensitivity |
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What is LFT?
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What is LFT?
liver function test |
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What do LFT’s have to do with TB therapy?
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What do LFT’s have to do with TB therapy?
TB drugs are liver toxic-hepatoxity. Monitor AST/ALT Labs |
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Do you do AST/ALT Labs before/during/after TB therapy?
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Do you do AST/ALT Labs before/during/after TB therapy?
Yes, because you want to establish baseline levels |
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What is the drug of choice for prophylactic TB?
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What is the drug of choice for prophylactic TB?
-INH |
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What does peripheral neuropathy (tingling in fingers and toes) have to do with INH?
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What does peripheral neuropathy (tingling in fingers and toes) have to do with INH?
- It is a Toxic S/E of INH. Report it immediately. |
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What are we watching AST & ALT (LFT’s) lab levels for?
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What are we watching AST & ALT (LFT’s) lab levels for?
-watching for neuropathy (inflammation of nerves) |
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how many acid fast bacillus do you have to confirm or disconfirm TB?
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how many acid fast bacillus do you have to confirm or disconfirm TB?
-three positive or three negative. |
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What is AFB?
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What is AFB?
acid fast bacillus is a sputum test |
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why do we use 3 different types of TB drugs to treat TB?
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why do we use 3 different types of TB drugs to treat TB?
-slows bacterial growth (bacteriostatic) and kills bacteria (bacteriocidal) at different stages. |
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what types of food should a pt on INH stay away from?
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what types of food should a pt on INH stay away from?
-aged cheese -bananas -dried fruit -red wine -processed meats and fish -soy sauce and fish sauce -yeast products (bread) |
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What drug do you give to INH pt to counter peripheral neuritis?
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What drug do you give to INH pt to counter peripheral neuritis?
-Vitamin B6 (pyridoxine) |
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Q1: What is PZA (Pyrazinamide)?
Q2: Does PZA cause photosensitivity? |
Q1: What is PZA (Pyrazinamide)?
-first line drug for TB Q2: Does PZA cause photosensitivity? -Yes; burned retinas, burned skin and head (sensitive to light) |
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GI upset can be reduced if Rifampin is given with what?
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GI upset can be reduced if Rifampin is given with what?
-Given with food or taken right after food |
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what color is the pt sweating or peeing while taking Rifampin?
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what color is the pt sweating or peeing while taking Rifampin?
-Reddish-Orange |
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What is the adverse reaction a pt needs to report to a Dr. when they are on Streptomycin?
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What is the adverse reaction a pt needs to report to a Dr. when they are on Streptomycin?
-tinnitus (ringing of the ears, 8th cranial nerve) |
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What’s our job description as a nurse in regards to remaining compliant while pt is on TB medication?
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What’s our job description as a nurse in regards to remaining compliant while pt is on TB medication?
-Making the appointments -following up with the appointments -making the arrangements |
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gr 1 = 60mg; 1g = gr 15;
500mL bag hung at 0800 pt 24hr IV orders 2 bag 500mL @ 2000 |
gr 1 = 60mg; 1g = gr 15;
500mL bag hung at 0800 pt 24hr IV orders 2 bag 500mL @ 2000 |