# Nursing DR-TB Guide

> Nursing guide for assessing and managing anti-TB medication side effects. (iPhone/iPad app by International Council of Nurses Fondation.)

- Source: https://appshunter.io/ios/app/nursing-dr-tb-guide/id1507364988 (this page in markdown: same URL + `.md`)
- Developer: [International Council of Nurses Fondation](https://appshunter.io/developer/1507364987)
- Category: Health & Fitness
- Price: Free
- Rating: 5.00/5 from 1 App Store ratings
- Age rating: 4+
- Requires: iOS 10.0 · 51 MB
- Languages: English
- Released: 2020-04-24
- Data updated: 2026-06-22
- Monetization: free
- User reviews in markdown: https://appshunter.io/ios/app/nursing-dr-tb-guide/id1507364988/reviews.md

## What is Nursing DR?

Nurses are often the first to hear of a patient’s side effect(s) during TB treatment and therefore, are well positioned to intervene. In response to requests from nurses for additional nursing practice resource tools, this guide was developed to help nurses assess for and respond appropriately to side effects related to anti-TB medications. The guide is designed as a reference so nurses can quickly: 

1. Identify symptoms that may indicate an anti-TB or anti-retroviral medication-related side effect; 

2. Assess for severity as well as other potential contributors; and 

3. Intervene appropriately to minimize patient discomfort, reduce side effect progression, and ultimately support successful treatment completion. 

This guide was developed by nurses with experience in the clinical care and programmatic management of TB and DR-TB in both high- and low-resource settings. Nursing and DR-TB literature were reviewed to establish best practice nursing assessment and intervention guidance. Nurses caring for patients with DR-TB field tested the job aid and provided feedback which was used to inform final content and format. 

How Information is Organized 
The guide is organized into the major types of toxicities, the associated symptoms, possible offending medications, and the suggested nursing assessments and interventions. Some symptoms (e.g. nausea) may be associated with several underlying causes and may be mild, or a symptom of a more serious medical situation requiring urgent attention. Additional information (comments) are provided for each toxicity to highlight relevant clinical information that may assist in management of side effects. Medications more strongly associated with the side effect appear in bold text. The appendices include tools nurses can use to more thoroughly assess patient complaints of pain, depression and neuropathy. 

The scope of this guide is limited to address management of medication-related side effects and does not address management of symptoms due to the disease itself or other important aspects of nursing care (such as addressing barriers to adherence). Additionally, the guide does not replace the need for training and mentoring for nurses caring for patients with DR-TB.

We encourage our nurse colleagues to continue to identify gaps in resource and training materials so that we can work to address the needs. Please contact the authors if you have questions.

Print versions of the guide can be found online at the following websites: 

• www.icn.ch/what-we-do/projects/tbmdr-tb-project  
• www.currytbcenter.ucsf.edu/products

Authors 

Ann Raftery, MS, BSN, RN 
Curry International Tuberculosis Center, University of California, 
San Francisco, San Francisco, CA, USA 

Carrie Tudor, PhD, MPH, BSN, RN 
International Council of Nurses, Geneva, Switzerland 

Lisa True, MS, RN 
Curry International Tuberculosis Center, University of California, 
San Francisco, San Francisco, CA, USA 

Catalina Navarro, BSN, RN 
Heartland National Tuberculosis Center, San Antonio, TX, USA

## Key features

- Identify medication side effects
- Assess symptom severity
- Intervene to minimize discomfort
- Support treatment completion
- Organized toxicity information
- Appendices for pain/depression assessment


## Frequently asked questions about Nursing DR

### What is Nursing DR-TB Guide?

Nursing DR-TB Guide is a reference tool designed to help nurses identify, assess, and respond to side effects experienced by patients undergoing anti-TB and anti-retroviral medication treatment. It focuses on managing these medication-related side effects to support successful treatment completion.

### Who developed Nursing DR-TB Guide?

The guide was developed by nurses with extensive experience in the clinical care and programmatic management of TB and DR-TB. Authors include Ann Raftery, Carrie Tudor, Lisa True, and Catalina Navarro, affiliated with the Curry International Tuberculosis Center and the International Council of Nurses.

### How is the information organized in Nursing DR-TB Guide?

Information is organized by major types of toxicities, associated symptoms, possible offending medications, and suggested nursing assessments and interventions. It also includes comments for relevant clinical information and appendices for assessing pain, depression, and neuropathy.

### Does Nursing DR-TB Guide cover all aspects of DR-TB nursing care?

No, the scope of Nursing DR-TB Guide is limited to managing medication-related side effects. It does not address symptoms due to the disease itself or other important aspects of nursing care, such as adherence barriers. It is intended as a supplement, not a replacement for training and mentoring.

### What devices is Nursing DR-TB Guide available on?

Nursing DR-TB Guide is available for iPhone, iPad, and iPod touch devices. It is designed for mobile access to provide nurses with quick reference tools.

### How often is Nursing DR-TB Guide updated?

The latest version of Nursing DR-TB Guide is 1.6, which was last updated on March 24, 2021. Users can check for future updates to ensure they have the most current information.

### What is the user rating for Nursing DR-TB Guide?

Nursing DR-TB Guide has a perfect rating of 5.0 stars, based on 1 rating. This indicates a highly positive user reception for the app's utility and content.

### Is Nursing DR-TB Guide free to use?

Yes, Nursing DR-TB Guide is available for free. There are no costs associated with downloading or using the application, making it an accessible resource for nurses.

## Version history (last 1 release)

### 1.6 — 2021-03-24

Only app information updated.

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