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Author Question: Which of the following laboratory tests should be monitored in a patient receiving antitubercular ... (Read 92 times)

nautica902

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on: Jul 23, 2018
Which of the following laboratory tests should be monitored in a patient receiving antitubercular drug therapy with rifampin (Rifadin)?
 
  a. Liver function studies and hemoglobin level
  b. Blood glucose, blood urea nitrogen (BUN), and platelet count
  c. White blood cell (WBC) count and liver function studies
  d. Complete blood count (CBC), liver enzymes, prothrombin time, and B12 and fo-late levels

Question 2

A patient taking ethambutol (Myambutol) has received information about the medication. The health care provider should instruct the patient to immediately report which adverse effect?
 
  a. Orange-red discoloration of bodily secretions
  b. Difficulty detecting the colors red and green
  c. Any onset of gastrointestinal (GI) adverse effects
  d. Impaired sense of hearing


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mistyjohnson

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Treatment with rifampin requires a CBC, liver enzymes, B12 and folate levels, and prothrombin time (PT) and international normalized ratio (INR) before and during therapy. Furthermore, PT and INR monitoring should be done more frequently because rifampin decreases the effective-ness of anticoagulants.

Answer to Question 2

ANS: B
Ethambutol causes optic neuritis, which decreases ability to detect the colors red and green, and also decreases visual acuity.


nautica902

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Reply #2 on: Jul 23, 2018
Thank you!


mistyjohnson

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Reply #3 on: Jul 23, 2018
Always glad to help...


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