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Expectorant:
Guaifenesin
C- Increases the volume and reduces the viscosity of secretions in respiratory tract H- absence of cough & thinner respiratory tract secretion E- DO NOT break, crush, chew ext rel tabs. Take it with food or an empty stomach. Drink plenty of water C- Avoid smoking smoked-filled room perfumes dust environmental pollutants and cleansers
K- (Guaifenesin is frequently combined with alcohol to form cough syrup , and can cause alcohol poisoning. )do not include this. Pls add in health teaching that do not combine with alcohol
ANTITUBERCULAR
ISONIAZID (INH)
C- bactericidal interference with lipid, nucleic acid biosynthesis, Tx prevention of TB. H- (6-9 mos. regimen) decrease in symptoms such as cough fever, fatigue, night sweats and increase in appetite E- (IM or PO with meals to decrease GI symptoms)dont include it is better taken on an empty stomach; better to take on empty stomach 1 hr a.c and 2 hr p.c. It may be given alone, or in combination with other medicines
C- DO NOT skip or double dose compliance with schedule and duration is necessary avoid alcohol if diabetic use glucose monitor to obtain correct result report weakness vomiting jaundice numbness of hands/feet. Vitamin B6 (example of foods rich in Vit B6) is needed to combat the peripheral neuropathy(signs and symptoms of peripheral neuropathy) K- may cause severe fatal liver problem may interact with food containing tyramine/histamine Monitor vital sign for HTN & tachycardia Tx for overdose pyridoxine
RIFAMPIN
C- used to prevent and Tx for TB and other infections H- weight gain, decrease in symptoms such as cough, weakness and night sweats, culture negative result. E- IV/PO 1hr a.c. and 2 hr p.c., it may be given alone, or in combination with other medication C- DO NOT skip or double dose urine, feces, saliva, sputum, sweats and tears may be colored red-orange; soft contact lenses may be permanently stained
K- Monitor for hepatotoxicity such as jaundice unusual bleeding diarrhea with pus sore throat anorexia
ETHAMBUTOL
C- used with other medications to treat TB and works by stopping the growth of bacteria H- decrease symptoms of TB, decrease in acid fast bacteria E- PO with meals to decrease GI symptoms antiemetic if vomiting occurs 2 hr before antacid
C- avoid alcohol products schedule appointments must be kept or relapse may occur report to prescriber any visual changes rash hot and swollen painful joints numbness and tingling of the extremities K- Monitor for symptoms of visual status such a s altered color perception serious skin reaction or toxic epidermal necrolysis.