Shared Flashcard Set

Details

TB therapeutics
n/a
15
Pharmacology
Undergraduate 1
05/05/2014

Additional Pharmacology Flashcards

 


 

Cards

Term
latent TB treatment (3)
Definition
INH 300 qd x9m with 10-50mg Vit. B6
INH 900 BIW x9m by DOT with Vit. B6
RIF 600 QD x4m when INH resistance or intolerance suspected
Term
Active TB treatment
Definition
INH, RIF, PZA, EMB QD x2m then
INH, RIF QD x4m
Term
# of drugs to add to a failing regimen
Definition
>1 - never add a single drug to a failing regimen
Term
DOT
Definition
Direct Observation Therapy - basically imprison person to ensure therapy adherence
Term
Meningitis TB DOC's
Definition
INH, PZA, ethionamide, cycloserine
Term
Pregnancy TB DOC's
Definition
INH and EMB with B6
RIF - meh (rarely causes birth defects)
Term
Renal Failure TB DOC's
Definition
INH and RIF require no changes
others require dose modification
Term
Isoniazid (INH) counseling points
Definition
take on empty stomach
watch for signs of liver damage (yellowing skin, dark urine)
Term
Rigampin (RIF) counseling points
(usual dose)
Definition
10mg/kg (600mg)
take on empty stomach
decrease OC effectiveness
colors bodily fluids reddish-orange
watch for signs of liver damage (yellow skin, dark urine)
Term
Rifabutin indication
Definition
HIV+ pts with MAC
Term
Pyrazinamide counseling points
Definition
never monotherapy
w/ or w/o food
watch for liver damage (yellow skin, dark urine)
Term
Ethambutol counseling points
Definition
take with food
may cause red-green color blindness - call MD
can be d/c'ed prn if SE or pt improving
Term
High prevalence of resistance areas (5)
Definition
NYC, Mexico, Asia, Baltic countries, former Soviet states
Term
Cases where resistance is suspected (7)
Definition
pts who have received prior TB treatment
Patients from areas of high resistance
homeless, institutionalized, IV drug users, HIV+
+AFB smear after 1-2 months of therapy
+cultures after 2-4 months of therapy
pts who relapse
pts known to be exposed to MDR-TB
Term
Bedaquiline (indication, warning)
Definition
indicated for INH or RIF resistant TB
QT prolongation
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