Page 1638 - Saunders Comprehensive Review For NCLEX-RN
P. 1638

2. Contraindications and cautions
                                                             a. Contraindicated in clients with
                                                                hypersensitivity

                                                             b.        Used with caution in clients

                                                                with diabetes mellitus or renal
                                                                dysfunction
                                             3. Side and adverse effects
                                                             a. Anorexia, nausea, vomiting

                                                             b.        Metallic taste in the mouth

                                                             c. Orthostatic hypotension

                                                             d.        Jaundice

                                                             e. Mental changes

                                                             f.       Peripheral neuritis

                                                             g. Rash
                                             4. Interventions
                                                             a. Assess liver and renal function test
                                                                results.

                                                             b.        Monitor glucose levels in the

                                                                client with diabetes mellitus.

                                                             c.        Administer pyridoxine as

                                                                prescribed to reduce the risk of
                                                                neurotoxicity.
                                             5. Client education
                                                             a. To take medication with food or meals
                                                                to minimize gastrointestinal irritation
                                                             b. To change positions slowly
                                                             c. To report signs of a rash, which can
                                                                progress to exfoliative dermatitis if the
                                                                medication is not discontinued
                                F. Aminosalicylic acid
                                             1. Description
                                                             a. Inhibits folic acid metabolism in
                                                                mycobacteria
                                                             b. Used to treat MDR-TB when significant
                                                                resistance to other medications is
                                                                expected
                                             2. Contraindications and cautions

                                                             a.        Contraindicated with

                                                                hypersensitivity to aminosalicylates,


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