Clinical Medications Worksheets Generic Trade Name Name Ethambutol Myambutol Peak Onset Classification antitubercular Dose 1200mg

Route PO Time/frequency Daily 0830

Duration

For IV meds, compatibility with IV drips and /or solutions Nursing Implications (what to focus on) Contraindications/warnings/interactions Contraindicated in patients who are known to be hypersensitive to this drug. It is also contraindicated in patients with known optic neuritis unless clinical judgment determines that it may be used. Adverse Reactions: >Retro bulbar neuritis with a reduction in visual acuity, constriction of visual field, central or peripheral scotoma and green-red color blindness. Retinal hemorrhage (rare); reduced renal clearance of urates (acute gout); confusion, hallucinations, malaise, jaundice; thrombocytopenia; pulmonary infiltrates

Mechanism of action and indications (Why med ordered) Active tuberculosis or other mycobacterial disease. Ethambutol are indicated for the treatment of pulmonary tuberculosis. It should not be used as the sole antituberculous drug, but should be used in conjunction with at least one other antituberculous drug. Selection of the companion drug should be based on clinical experience, considerations of comparative safety and appropriate in vitro susceptibility studies

Ethambutol is bacteriostatic against actively growing TB bacilli, it works by obstructing the Common side effects formation of cell wall. Mycolic acids attach to the 5-hydroxyl groups of D-arabinose residues of dizziness, fatigue, or headache arabinogalactan and form mycolyl-arabinogalactan loss of appetite peptidoglycan complex in the cell wall. It disrupts upset stomach arabinogalactan synthesis by inhibiting the enzyme vomiting arabinosyl transferase. Disruption of the numbness and tingling in the hands or fee arabinogalactan synthesis inhibits the formation of optic neuritisblurring of vision this complex and leads to increased permeability of the cell wall. Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically)

Be sure to teach the patient the following about this medication Advice patient to take medication exactly as directed if a dose is missed take as soon as possible.

Nursing Process- Assessment (Pre-administration assessment) Evaluate renal function, CBC, and urine analysis periodically Monitor LFT Hepatic function should be evaluated prior to and monthly throughout therapy Visual Acuity test

Assessment Why would you hold or not give this med? Irregularity of liver, kidney and or visual acuity tests.

Evaluation