Podcast
Questions and Answers
What is the recommended action regarding ART treatment for a patient receiving TB treatment?
What is the recommended action regarding ART treatment for a patient receiving TB treatment?
What is the turnaround time for the initiation of tuberculosis treatment after sputum sample collection?
What is the turnaround time for the initiation of tuberculosis treatment after sputum sample collection?
At what age is a patient classified as a child under the TB DOTS classification?
At what age is a patient classified as a child under the TB DOTS classification?
What specific medication is indicated for a patient diagnosed with Rifampicin-resistant TB?
What specific medication is indicated for a patient diagnosed with Rifampicin-resistant TB?
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How many ml of Streptomycin should a 60kg patient receive on the 14th day of treatment?
How many ml of Streptomycin should a 60kg patient receive on the 14th day of treatment?
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Which drug for tuberculosis can lead to psychosis and convulsion as adverse reactions?
Which drug for tuberculosis can lead to psychosis and convulsion as adverse reactions?
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What is the estimated glomerular filtration rate of a 55-year-old male client with a creatinine result of 156 and weight of 81kg?
What is the estimated glomerular filtration rate of a 55-year-old male client with a creatinine result of 156 and weight of 81kg?
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What is the turnaround time for the initiation of treatment for Tuberculosis from the collection of sputum sample?
What is the turnaround time for the initiation of treatment for Tuberculosis from the collection of sputum sample?
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Which medication is known to interact with oral contraceptives?
Which medication is known to interact with oral contraceptives?
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At what age is a patient considered a child under the classification of TB DOTS?
At what age is a patient considered a child under the classification of TB DOTS?
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What medication should be given to a patient diagnosed with Rifampicin-resistant TB?
What medication should be given to a patient diagnosed with Rifampicin-resistant TB?
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How many ml of Streptomycin should be administered to a 60kg patient on the 14th day?
How many ml of Streptomycin should be administered to a 60kg patient on the 14th day?
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Which tuberculosis drug could cause psychosis and convulsion as an adverse reaction?
Which tuberculosis drug could cause psychosis and convulsion as an adverse reaction?
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What is the estimated glomerular filtration rate (GFR) of a 55-year-old male client with a creatinine result of 156?
What is the estimated glomerular filtration rate (GFR) of a 55-year-old male client with a creatinine result of 156?
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Which tuberculosis drug could lead to thrombocytopenia, anemia, and shock as adverse reactions?
Which tuberculosis drug could lead to thrombocytopenia, anemia, and shock as adverse reactions?
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Which medication has an interaction with oral contraceptives?
Which medication has an interaction with oral contraceptives?
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Study Notes
Tuberculosis (TB) Treatment Essentials
- Turnaround Time for Treatment: Treatment initiation for Tuberculosis begins 2 days after sputum sample collection.
- Classification of Children: In TB DOTS by DOH, a patient under the age of 12 is classified as a child.
- Rifampicin-resistant TB Treatment: Levofloxacin is the recommended medication for patients diagnosed with Rifampicin-resistant TB.
Dosage Calculations
- Streptomycin Dosage: A 60 kg patient requires 1.80 ml of Streptomycin for the 14th day of the IM dose.
- Estimated Glomerular Filtration Rate: A 55-year-old male with a creatinine level of 156 has an estimated GFR of 54.29.
Adverse Reactions of TB Medications
- Isoniazid Concerns: This medication can lead to psychosis and convulsions.
- Pyrazinamide Risks: Potential adverse reactions include thrombocytopenia, anemia, and shock.
Drug Interactions and Considerations
- Interaction with Oral Contraceptives: Rifampicin may interact negatively with oral contraceptives.
- Dose Adjustments in Hemodialysis: Streptomycin is generally avoided in patients with renal failure, and is not expected for dose adjustments in hemodialysis for Category II Pulmonary Tuberculosis.
Co-treatment of HIV and TB
- ART and TB Medications: ART may be deferred until completing the intensive phase of TB treatment; ethambutol and isoniazid can be used in the continuation phase.
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Description
Test your knowledge about the turnaround time for initiating Tuberculosis treatment after sputum sample collection. Additionally, evaluate your understanding of the classification of TB DOTS and the definition of a child in this context, as per Nurse Christian's insights.
