tuberculosis

common infections sites: lungs, brain, bone, liver, kidney

-conveyed by droplets

-NIGHT SWEATS- THINK TB

latent tb infection

in the body but not active

active tb infection

serious illness that could kill if left untreated

RIPE

• R- rifam
• I- INH
• P-pyrodoxine
• E- ethambutol

Isoniazid

drug of choice for TB

• numbness and tingling of extremities dizziness and ataxia are common concurrent use of pyridoxine (vitamin b6) prevents or relives these symptoms

Rifampin

treatment of TB

• think red-right of secretions (tears,saliva,sweat or urine)

Ethanbutol

can cause red/green vision changes THINK EYES

Isoniazid, rifampin, ethambutol

all three mediations must be used in combination to prevent resistant organisms

what does rifampin cause?

oral contraceptives to become ineffective; another form of birth control form of birth control is needed

Inoculation

route takes several forms (sexual contract/blood transfusion)

-viruses are difficult are difficult to kill because they live inside the cells

Antiretroviral drugs

used to treat infections caused by HIV, the virus that causes AIDS

HEP B has a vaccine

true

HEP C

leading cause of liver failure leading to liver transplantation

TREATMENT: any meds that end in VIR

Pregnant women or planning on becoming pregnant do NOT want to be around aerosol form of ribavirin

true or false

true

Gancicloui

used to treat infection with CMV

-can cause bone morrow toxicity-ensure proper use

Oseltamivir (Tamiflu)

reduces the duration of the illness

• TREATMENT should begin within 2 days of influenza symptom onset

VIR

THINK ANTIVIRAL MED

ribavirin

effective against DNA type viral families, inhibitory activity against RSV

(know its antiviral)

Aerosol should not be used in those who are pregnant or want to become pregnant.

TRUE OR FALSE

TRUE

Ribavirin black box warning

contraindicated in pregnant women and their male sexual partners

Zanamivir

uncomplicated acute illness from influenza

sofoslovir

used in combination with ribavirin

HIV THINK

RETROVIRUS

HIV is transmitted through bodily fluids. (blood,semen, vaginal secretions)

true or false

true

at the end of stage 1 and 2, patient is extremely contagious

AT risk for opportunistic infections

Antiretroviral drugs

highly active antiretroviral therapy (HAART)

Amphotericin B

very nephrotoxic

want to watch kidney levels

very important to know serious adverse effect nephrotoxicity and electrolyte imbalances

Itraconazole

want to watch in patients with heart failure

Serious adverse effect- heart failure and hepatoxicity

variconazole

can cause fetal harm in pregnant women

amphoterican B

renal toxic and cardiac dysrthmias

a patient is taking nystatin (mycostatin) in an oral troche form for oral candidiasis, which instruction is correct?

allow the troche to dissolve slowly in the mouth

women on fluconazole need an alternate form of birth control, instruct patient to report any jaundice, N/V, clay colored stools, or dark urine

(T/F)

true

women of childbearing age need to use contraception due to teratogenic effects

(T/F)

true