DRUG NAME MECHANISM INDICATION CONTRAINDICATION SIDE/ADVERSE NURSING

OF ACTION EFFECTS CONSIDERATIONS

Generic Bacteriosta Initial Contraindicated Assessment:

name: tic or treatment for with allergy to nausea, History:
Pyrazinamide bactericidal active TB in pyrazinamide , upset Allergy to
against adults and acute Hepatic stomach, pyrazinamide, acute
Brand Name mycobacteri children with desease, lactation, vomiting, hepatic disease,
: Tebrazid um combine other acute gout. loss of gout, diabetes
tuberculosis antituberculotic. appetite mellitus, acute
Classification Use cautiously mild intermittent
: Treatment of with diabetes muscle or porphyria,
Antituberculot drug- resistant mellitus, acute joint pain, pregnancy.
ic TB as part of intermittent or.
an porphyria, fatigue. Physical: Skin
Dosage :15 to individualized pregnancy. color, lesions, joint
30mg/kg once regimen. Gastro intestinal : status, TB, liver
daily Hepatotoxi evaluation, LFTs,
city serum and urine
Route : Oral Nausea uric acid levels,
Vomiting blood and urine
Diarrhea glucose, CBC.
Dermatologic:
Rashes Intervention:
photosensit
ivity Administer
only in
conjunction
with other
antituberculotics

Administer
once a day.

Discontinue
drug if liver
damage or
hyperurice
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION SIDE/ADVERSE NURSING
ACTION EFFECTS CONSIDERATIONS

Isoniazid is Assess
Isoniazid Inhibits Pulmonary contraindicated in Various skin laborator
(INH) RNA and patients who develop eruptions examinat :
synthesis, extrapulmon severe Fever sputum,
decreases ary hypersensitivity Lymphadeno chest x-ra
tubercule tuberculosis reactions, including pathy before
bacilli (TB). Lupus drug -induced Vasculitis treatment
replication. vulgaris. hepatitis; Hypersensitivi monitor e
previous isoniazidass ty very
ociated hepatic Nausea
injury; severe adverse month to
Vomiting detect
reactions
Gastrointesti resistance
to isoniazid such as
drug nal Monitor li
disturbances ver/rena
fever, Liver function:
chills, dysfunction liver
arthritis; Peripheral week ever
and acute neuropathy Assess C
liver disease Anemia often
of any Assess
etiology. hepatic
status
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION SIDE/ADVERSE NURSING
ACTION EFFECTS CONSIDERATIONS
Generic Name: The following
The mechanism is used with conditions are Common side Advice patient to
Ethambutol of action of other contraindicated effects take medication as
ethambutol is medications with this drug. Dizziness directed if a dose is
Trade Name: not completely to treat Check with your Fatigue missed take as soon
Myambutol known. There is tuberculosis physician if you or headach as possible
evidence that (TB). Ethamb have any of the loss of appetite
Classification: the drug exerts utol is an following: upset stomach Patient Education
Antitubercular its bacteriostatic antibiotic and vomiting
activity by works by Conditions: numbness and Discuss specific
Dose 1200mg virtue of stopping the tingling in the use of drug and side
Route PO inhibition of growth of retinal changes of hands or fee effects with patient
arabinosyl bacteria. This eye in a patient optic neuritis– as it relates to
transferase, an antibiotic with diabetes blurring of vision treatment.
enzyme that treats only gout (HCAHPS: During
polymerizes bacterial cataracts this hospital stay,
arabinose into infections. It sudden blindness were you given any
arabinan and will not work and pain upon medicine that you
then for viral moving the eye had not taken
arabinogalactan, infections kidney disease with before? Before
a mycobacterial (such as reduction in kidney giving you any new
cell wall common function medicine, how often
constituent. cold, flu). Upset stomach or did hospital staff
throwing up. tell you what the
Not hungry. medicine was for?
Dizziness. How often did
Headache. hospital staff
Belly pain. describe possible
Feeling tired or side effects in a way
weak. you could
understand?)

Allergies: • Patient may

experience nausea,
Ethambutol vomiting, lack of
appetite, loss of
strength or energy,
dizziness, headache,
or abdominal pain.
Have patient report
immediately to
prescriber signs of
liver problems (dark
urine, fatigue, lack
of appetite, nausea,
abdominal pain,
light-colored stools,
vomiting, or
jaundice),
pharyngitis, chills,
confusion,
hallucinations, joint
pain, joint edema,
numbness or
tingling of hands or
feet, bruising,
bleeding, or vision
changes
(HCAHPS).

• Educate patient
about signs of a
significant reaction
(eg, wheezing; chest
tightness; fever;
itching; bad cough;
blue skin color;
seizures; or swelling
of face, lips, tongue,
or
throat). Note: This
is not a
comprehensive list
of all side effects.
Patient should
consult prescriber
for additional
questions.
Intended Use and
Disclaimer: Should
not be printed and
given to patients.
This information is
intended to serve as
a concise initial
reference for health
care professionals to
use when discussing
medications with a
patient. You must
ultimately rely on
your own
discretion,
experience, and
judgment in
diagnosing, treating,
and advising patient
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION SIDE/ADVERSE NURSING
ACTION EFFECTS CONSIDERATIO
NS

Generic Inhibits Maintenanc Jaundice CNS: Perform

Name: DNA- e phase associated headache, mycobacterial
rifampicin dependent treatment with reduced drowsiness, studies and
polymeras of all forms bilirubin fatigue, susceptibility
Brand e, of pulmon exretion; 1 st dizziness,
tests prior to
Name: decreases ary and trimester inability to
and periodically
Crisarfam replicatio extra- of pregnancy; concentrate,
during therapy
pulmonary premature and mental
Classificatio TB; newborn generalized to detect
n; prevention infants. Drug- numbness, possible
Anti- of mening induced muscle resistance.
infectives ococcal liver diseas, weakness,
meningitis impaired liver visual Assess lung
functi. disturbances. sound and
character and
Dermatologic: amount of
Rash, sputum
pruritus periodically
urticaria during therapy
flushing to detect
reddish possible
discoloration
resistance.
of body flu
saliva
urine Assess lung
sweat sound and
sputum. character and
amount of
GI: sputum
heartburn, periodically
distress, during therapy.
anorexia,
vomiting gas,
cramp
diaarhea
hepatitis,
pancreatitis

GU:
hemoglobinur
ia,
hematuria
renal
insufficiency
acute renal
failure

Hematologic:

Eosinophilia
thrombocytop
enia
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION SIDE/ADVERSE NURSING
ACTION EFFECTS CONSIDERATIONS
Inhibits protein In Contraindicated in: EENT: Assess
Streptomycin synthesis in combinat patient for
bacteria at level ion with Hypersensiti totoxicity infection (
of 30S ribosome other vity (vestibular VS wounds
or Injection o Most agents in Most & appearance
USP aminoglycoside s the parenteral choclear) , sputum,
notable for manage products GU: urine, and
1 gram* / activity against: ment contain nephrotoxi dtool
vial P. aeruginosa of active bisulfites & city WBC) at
*Each vial Klebsiella tubercul should be F&E: beginning
contains pneumoniae osis avoided in hypomagn of and
Streptomycin Escherichia coli patients with esemi a throughout
Sulfate USP Proteus It is used known MS: therapy.
equivalent to Serratia to treat intolerance muscle Obtain
1 gram Acinetobacter TB Products paralysis specimens
Streptomycin Staphylococc us (tubercul containing (high for C&S
. aureus o In osis). benzyl parenteral before
treatment alcohol doses) initiating
For of enterococcal It is used should be Misc: therapy.
Intramuscula infections to treat avoided in hypersensi First dose
r Use bacterial neonates tivity may be
infection Cross- reactions given
s. sensitivity before
among Feeling receiving
aminoglycosi confused. results.
des Evaluate
Dizziness o eight
r passing cranial
out. nerve
function by
Headache. audiometry
before and
Hearing throughout
loss. therapy .
Also
Muscle monitor for
weakness. vestibular
dysfunction
burning,
.
numbness,
or tingling
feeling that
is not
normal.

Twitching.

Seizures.
Euthanasia
Euthanasia is the intentional and painless taking of the life of another person, by act or omission, for
compassionate motives. The word euthanasia is derived from the Ancient Greek language and can be literally
interpreted as ‘good death.’ Despite its etymology, the question whether or not euthanasia is in fact a ‘good
death’ is highly controversial. Correct terminology in debates about euthanasia is crucial. Euthanasia may be
performed by act or omission - either by administering a legal drug or by withdrawing basic health care which
normally sustains life (such as food, water or antibiotics). The term euthanasia mostly refers to the taking of
human life on request of that person – the euthanasia is voluntary. However, euthanasia may also occur without
the request of person who subsequently – euthanasia is non-voluntary. Involuntary euthanasia refers to the
taking of a person’s life against that person’s expressed wish/direction.
Central to discussion on euthanasia is the notion of intention. While death may be caused by an action or
omission of medical staff during treatment in hospital, euthanasia only occurs if death was intended. For
example, if a doctor provides a dying patient extra morphine with the intention of relieving pain but knowing
that his actions may hasten death, he has not performed euthanasia unless his intention was to cause death
(Principle of Double Effect). Euthanasia may be distinguished from a practice called physician-assisted suicide,
which occurs when death is brought about by the persons own hand (by means provided to him or her by
another person). All practices of euthanasia and physician-assisted suicide are illegal in Australia.

Euthanasia, also called mercy killing, act or practice of painlessly putting to death persons suffering from painful and
incurable disease or incapacitating physical disorder or allowing them to die by withholding treatment or withdrawing
artificial life-support measures. Because there is no specific provision for it in most legal systems, it is usually regarded as
either suicide (if performed by the patient himself) or murder (if performed by another). Physicians may, however,
lawfully decide not to prolong life in cases of extreme suffering, and they may administer drugs to relieve pain even if this
shortens the patient’s life. In the late 20th century, several European countries had special provisions in their criminal
codes for lenient sentencing and the consideration of extenuating circumstances in prosecutions for euthanasia.

The opinion that euthanasia is morally permissible is traceable to Socrates, Plato, and the Stoics. It is rejected in
traditional Christian belief, chiefly because it is thought to contravene the prohibition of murder in the Ten
Commandments. The organized movement for legalization of euthanasia commenced in England in 1935, when
C. Killick Millard founded the Voluntary Euthanasia Legalisation Society (later called the Euthanasia Society).
The society’s bill was defeated in the House of Lords in 1936, as was a motion on the same subject in the House
of Lords in 1950. In the United States the Euthanasia Society of America was founded in 1938
 DRUG STUDY
OF
TUBERCULOSIS

STUDENT NAME : CHRISTINE C. MALICAY

BSN –II
SUBMITTED TO: ALMIRA JANE R. MALICAY RN,MN
[Chords] Mula noon Mula noon
C/B x20010 G G
Hanggang ngayon, Hanggang ngayon,
[Intro] C Am Fmaj7 G C
C Am Fmaj7 G Ikaw at Ako Ikaw at Ako

[Verse 1] [Verse 2] [Interlude]

C C/B C C/B C C/B Am G Fmaj7 G (x2)
Sabi nila At sa wakas
Am G Am G [Chorus 3]
Balang araw darating Ay nahanap ko na rin C C/B Am
Fmaj7 G Fmaj7 G At ngayon, nandito na
Ang iyong tanging hinihiling Ang aking tanging hinihiling G Fmaj7
C C/B C C/B Palaging hahawakan
At nung dumating Pangako sa'yo G
Am G Am G Iyong mga kamay
Ang aking panalangin Na ika'y uunahin C C/B Am
Fmaj7 G Fmaj7 G 'Di ka na mag-iisa
Ay hindi na maikubli At hindi naitatanggi G Fmaj7
Sa hirap at ginhawa
[Pre-Chorus 1] [Pre-Chorus 2] G
Fmaj7 G Fmaj7 G Ay iibigin ka
Ang pag-asang nahanap ko Ang tadhanang nahanap ko Fmaj7
C C/B Am C C/B Am Mula noon
Sayong mga mata Sa'yong pagmamahal G
Fmaj7 G Fmaj7 G Hanggang ngayon
At ang takot kong sakali mang Ang dudulot sa pag ibig Fmaj7
C C/B Am G C C/B Am G Mula ngayon
Ika'y mawawala Natin na magtatagal G
Hanggang dulo
[Chorus 1] [Chorus 2] C
C C/B Am C C/B Am Ikaw at Ako
At ngayon, nandyan ka na At ngayon, nandyan ka na
G Fmaj7 G G Fmaj7 G
'Di mapaliwanag ang nadarama 'Di mapaliwanag ang nadarama
C C/B Am C C/B Am
Handa ako sa walang hanggan Handa ako sa walang hanggan
G Fmaj7 G Fmaj7
'Di paaasahin 'Di paaasahin
G G
'Di ka sasaktan 'Di ka sasaktan
Fmaj7 Fmaj7