Azathioprine - Frequent:: Anti-Inflammatory Immunosuppressive That Can Decrease Joint Damage and Disability

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MECHANISM OF INDICATION CONTRAINDICATION COMMON SIDE NURSING

ACTION EFFECTS CONSIDERATION


Azathioprine Antagonizes anti-inflammatory -Hypersensitivity to -Frequent: -History:
purine immunosuppressive azaTHIOprine Nausea, vomiting, Allergy to
Classification: metabolism, that can decrease - pregnancy anorexia azathioprine:
Immunosuppressan inhibits DNA, joint damage and -lactation (particularly Rheumatoid
t. protein, and RNA disability  Alcoholism during early arthritis patients
synthesis. -chronic liver disease treatment and previously treated
with large doses). with alkylating
Dosage and route: agents
50 mg -Occasional: Rash.
OD - Give with food or
-Rare: Severe in divided doses to
nausea/vomiting reduce potential
with diarrhea, for GI disturbances.
abdominal pain,
hypersensitivity
reaction.
Acetaminophen Appears to inhibit relief of mild to -Hypersensitivity to -Hypersensitivity -Baseline
prostaglandin moderate pain acetaminophen reaction. assessment:
Classification: synthesis in the -severe hepatic If given for
Analgesics CNS and, to a impairment or severe Anorexia analgesia, assess
lesser extent, active liver disease Nausea onset, type,
Dosage and route: block pain diaphoresis location, duration
impulses through of pain. Effect of
325 mg peripheral action. medication is
PRN Acts centrally on reduced if full pain
hypothalamic response recurs
heat-regulating prior to next dose
center, producing
peripheral -Intervention
vasodilation /evaluation:
Assess for clinical
improvement and
relief of pain, fever
Corticosteroids Suppress  help to slow and Absolute Headache, Monitor vital sign
migration of stop the processes contraindication: insomnia, weight
Classification: polymorphonuclea in your body that gain, nausea, Taper doses when
Glucocorticoids r leukocytes (PML) make the molecules -Infectious arthritis vomiting. discontinuing high-
and reverse involved in your -Bacteremia increased blood dose or long-
Dosage and route: increased capillary inflammatory -Periarticular glucose termtherapy.
permeability by response. -cellulitis
their anti- /ulceration Changes in · Do not give live
100 mg inflammatory Osteomyelitis appearance virusvaccines
TID effect. Suppress withimmunosuppre
immune system by Relative ssivedoses
decreasing activity contraindication; of corticosteroids.
of lymphatic -Do not stop taking
system. -Uncontrolled the oral drug
diabetes without consulting
-Uncontrolled the health care
 hypertension provider
-Joint instability -avoid exposure to
-Severe mechanical infections, abilty to
deterioration of joint fight infections is
reduced.
-instruct the
patient that they
nay experience
these side effects

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