RECOMMENDATION

MEDICATION

MEDICINE PURPOSE DOSAGE FREQUENCY ROUTE TIME SPECIAL

INSTRUCTIONS

Isoniazid Used to treat 100 mg OD Oral 30 mins before Isoniazid may cause
and prevent breakfast severe and
tuberculosis. sometimes fatal liver
damage.

Rifampin An antibiotic 600 mg BID Oral 1 hour before or Avoid drinking while
(Rimactane) used to treat or 2 hours after taking the
prevent meals medication. This
tuberculosis. (breakfast/dinne medication can
May also be r) make you drowsy.
used to prevent
certain bacteria
in your nose and
throat that could
cause
meningitis or
other infections.

Rifabutin Helps to prevent 300 mg ; 150 OD, can be Oral You may take Tell your doctor if
(Mycobutin) or slow the mg for patients given BID if a the medication you wear soft
spread of with the patient has a bc or ac; can be contact lenses.
Mycobacterium tendency to tendency to also taken with Rifabutin may cause
avium complex develop develop or without food. permanent
disease (MAC; a gastrointestinal gastrointestinal brown-orange stains
bacterial infection problems problems. on your contact
that may cause lenses.
serious
symptoms) in
 patients with
human
immunodeficienc
y virus (HIV)
infection.

Rifapentine Used with other 150 mg OD Oral If used to treat This medication can
(Priftin) medications to active make you feel dizzy,
treat active tuberculosis, fainting, increased
tuberculosis usually taken sweating and
(TB) of the with food twice temporary
lungs. weekly, with discoloration of skin,
doses at least 3 teeth, saliva, tears,
days apart, for urine, stool and
the first 2 sweat.
months and
then once
weekly for 4
months.

If used to treat
latent
tuberculosis, it
should be with
food taken once
every week.

EXERCISE
- Instruct the patient to have an exercise every morning.
- Instruct the patient to perform breathing exercises to help improve lung function and oxygen delivery.
- Before trying to start an exercise program, consult a physician as they can provide guidance on specific precautions and
potential exercise modifications to maximize safety and effectiveness.
TREATMENT
- Provide clear instructions on how to properly manage tuberculosis and promote healing.
- Prescribe appropriate medications to manage the disease in post-medical programs.
- Schedule and emphasize the importance of follow-up appointments with the physician to monitor healing of patients with
tuberculosis and address any concerns.

HEALTH TEACHING
- Educate the client what tuberculosis is and how it affects the body.
- Educate the patient about the signs and infection such as persistent coughing (which lasts for more than 2 weeks), cough with
blood on sputum and chest pains.
- Instruct the patient on recognizing and managing potential complications
DIET
- Consider dietary restrictions or modifications based on the patient's health status and medications.
- Encourage more fluid intake to stay hydrated and prevent dehydration.
- Frequent, small meals to avoid malnutrition and weight loss.
- Instruct the patient to consume foods rich in vitamins and minerals, especially vitamin A, C, & E, to boost immunity and
healing.
-
SPIRITUAL/SEXUAL/SUPPORT SYSTEM
- Assess the spiritual needs of the patient and inform them about counseling or support groups that could benefit them
- Discuss any concerns or questions related to sexual health with the patient.
- Collaborate with social workers or mental health professionals to assess and address the patient's psychosocial needs.

REFERENCES:

Tuberculosis - Diagnosis & treatment - Mayo Clinic. (2023, March 22). Mayo Clinic.
https://www.mayoclinic.org/diseases-conditions/tuberculosis/diagnosis-treatment/drc-20351256
Tuberculosis - Symptoms & causes - Mayo Clinic. (2023, March 22). Mayo Clinic.
https://www.mayoclinic.org/diseases-conditions/tuberculosis/symptoms-causes/syc-20351250?fbclid=IwAR0Ot-ylG4RE58V_4kna6Rq
iIegHUvFK4n4TwcSDIrEYhcLM20_0ZH8jkGs

Isoniazid Uses, Side Effects & Warnings. (n.d.). Drugs.com. https://www.drugs.com/mtm/isoniazid.html

Isoniazid: MedlinePlus drug information. (n.d.). https://medlineplus.gov/druginfo/meds/a682401.html

Rifampin Uses, Side Effects & Warnings. (n.d.). Drugs.com. https://www.drugs.com/mtm/rifampin.html

Rifabutin dosage guide + Max dose, adjustments. (n.d.). Drugs.com. https://www.drugs.com/dosage/rifabutin.html

Rifapentine: MedlinePlus drug information. (n.d.). https://medlineplus.gov/druginfo/meds/a616011.html

Spraul, T. (2023, November 15). How to train clients with tuberculosis (Step-by-Step guide) | Exercise.com. Exercise.com | Software
to Grow Your Fitness Business. https://www.exercise.com/grow/how-to-train-clients-with-tuberculosis/