Tuberculosis Etiology
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Infectious disease caused by M. tuberculosis· Inhaled into the alveolus and
spreads from lungs· M. tuberculosis grows slowly· Infection is spread
almost exclusively by aerosolization of contaminated lung secretions
,Symptoms of Hypothyroidism
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reduced stroke volume and HR, increased peripheral resistance to maintain
BP, bradycardia, macrocytic anemia assoc. With B12 deficiency, dyspnea,
hypoventilation, CO2 retention, decreased appetite, constipation, weight
gain, fluid retention, dry flaky skin, dry hair, slow wound healing, cool skin,
decreased libido, confusion, slow speech, memory loss, clumsy
movements.
Antidiabetic medications associated with photosensitivity
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Sulfonylureas
Amiodarone monitoring
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Cxray, PFT every 3-6 mo.
TSH, free T4 every 6 mo.
Opthalmic exam (slit lamp and fundoscopy) every 6 mo.
Contraindications for smoking cessation therapy.
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, Hypersensitivity to nicotine.
Myocardial infarction.
Life-threatening arrhythmias.
Severe or worsening angina pectoris.
Bupropion is contraindicated in patients with seizure disorders, bulimia, and
anorexia nervosa and within 14 days of MAOIs.
Drugs contraindicated in patients with angina
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Beta blockers are contraindicated for patients with severe, uncontrolled
reactive airway diseases and vasospastic angina
Allopurinol drug interactions
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ACEI - hypersensitivity.
Aluminum salts - decreased effects.
Ampicillin - rate of amp rash higher.
Anticoagulants- enhanced anticoag (use Warfarin)
Cyclophosphamide - increased risk for bleeding.
Theophylline - toxicity risk.
Thiazide diuretics - increased incidence of hypersensitivity reactions.
Thiopurines - clinically significant increases in pharm and toxic effect of
thio.
Uricosuric agents - increase excretion of oxypurinol.
Patient education for nitroglycerine
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All patients with angina should carry some form of rapid-acting nitrate with
them at all times. They should be instructed to use this medication at the
first sign of angina, even if they are uncertain if the symptoms are angina. If
symptoms have not improved after 5 minutes of taking one dose of this
drug, the patient should call 9-1-1 for medical attention. This
recommendation has been updated from the previous recommendation of
taking up to three doses before calling EMS.
The timing of the nitrate-free interval should coincide with the time of
fewest episodes of angina, which is typically at night. The administration
schedule that seems most effective is 7 a.m. and 2 p.m. daily.
Headache is the most common adverse reaction but resolves over time.
Starting with low doses and slowly increasing the dose reduces the
incidence of headache.
Symtoms of digoxin toxicity
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Confusion.
Irregular pulse.
Loss of appetite.
Nausea, vomiting, diarrhea.
Fast heartbeat.
Vision changes (unusual), including blind spots, blurred vision, changes in
how colors look, or seeing spots.
Preferred antihypertensives for blacks
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Give this one a try later!
Infectious disease caused by M. tuberculosis· Inhaled into the alveolus and
spreads from lungs· M. tuberculosis grows slowly· Infection is spread
almost exclusively by aerosolization of contaminated lung secretions
,Symptoms of Hypothyroidism
Give this one a try later!
reduced stroke volume and HR, increased peripheral resistance to maintain
BP, bradycardia, macrocytic anemia assoc. With B12 deficiency, dyspnea,
hypoventilation, CO2 retention, decreased appetite, constipation, weight
gain, fluid retention, dry flaky skin, dry hair, slow wound healing, cool skin,
decreased libido, confusion, slow speech, memory loss, clumsy
movements.
Antidiabetic medications associated with photosensitivity
Give this one a try later!
Sulfonylureas
Amiodarone monitoring
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Cxray, PFT every 3-6 mo.
TSH, free T4 every 6 mo.
Opthalmic exam (slit lamp and fundoscopy) every 6 mo.
Contraindications for smoking cessation therapy.
Give this one a try later!
, Hypersensitivity to nicotine.
Myocardial infarction.
Life-threatening arrhythmias.
Severe or worsening angina pectoris.
Bupropion is contraindicated in patients with seizure disorders, bulimia, and
anorexia nervosa and within 14 days of MAOIs.
Drugs contraindicated in patients with angina
Give this one a try later!
Beta blockers are contraindicated for patients with severe, uncontrolled
reactive airway diseases and vasospastic angina
Allopurinol drug interactions
Give this one a try later!
ACEI - hypersensitivity.
Aluminum salts - decreased effects.
Ampicillin - rate of amp rash higher.
Anticoagulants- enhanced anticoag (use Warfarin)
Cyclophosphamide - increased risk for bleeding.
Theophylline - toxicity risk.
Thiazide diuretics - increased incidence of hypersensitivity reactions.
Thiopurines - clinically significant increases in pharm and toxic effect of
thio.
Uricosuric agents - increase excretion of oxypurinol.
Patient education for nitroglycerine
, Give this one a try later!
All patients with angina should carry some form of rapid-acting nitrate with
them at all times. They should be instructed to use this medication at the
first sign of angina, even if they are uncertain if the symptoms are angina. If
symptoms have not improved after 5 minutes of taking one dose of this
drug, the patient should call 9-1-1 for medical attention. This
recommendation has been updated from the previous recommendation of
taking up to three doses before calling EMS.
The timing of the nitrate-free interval should coincide with the time of
fewest episodes of angina, which is typically at night. The administration
schedule that seems most effective is 7 a.m. and 2 p.m. daily.
Headache is the most common adverse reaction but resolves over time.
Starting with low doses and slowly increasing the dose reduces the
incidence of headache.
Symtoms of digoxin toxicity
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Confusion.
Irregular pulse.
Loss of appetite.
Nausea, vomiting, diarrhea.
Fast heartbeat.
Vision changes (unusual), including blind spots, blurred vision, changes in
how colors look, or seeing spots.
Preferred antihypertensives for blacks
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