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12 Cards in this Set

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Clinical Manifestations

Initial symptoms: low grade temp, weight loss, cough, fatigue, night sweats


Cough (nonproductive/productive) - hemoptysis may occur


Dyspnea and orthopnea

Isoniazid

MOA: penetrates body cells and mycobacterium = inhibits formation of bacterial cell walls


Inhibits growth of dormant organisms in macrophages and TB lesions

Isoniazid

AE: damage to liver

Isoniazid

BBW: severe and sometimes fatal hepatitis may occur within first 3 months or throughout therapy

Isoniazid

Always given in combo with other anti-TB drugs for active TB

Isoniazid

Risk of isoniazid-induced hepatitis worsens if patient consumes alcohol daily



Liver function tests MUST be done

Rifampin

MOA w/ INH: eliminates TB bacilli from sputum produces clinical improvement the fastest (unless bacteria is resistant)

Rifamycins

Rifampin

HEPATOTOXICITY

Rifampin

Use: latent TB or in combo for active TB

Rifampin

Patient teaching: follow regimen exactly, take on empty stomach, avoid alcohol, take liver function tests, decrease effectiveness of BCP, and patient will feel better in 2-3 weeks for active TB

Rifampin

Bactericidal for treatment of intracellular and extra cellular TB organisms

Rifampin

Drug causes harmless red-orange discoloration in urine, sweat, tears, etc.