A nurse provides teaching to a patient who has undergone kidney transplantation and will begin taking cyclosporine (Sandimmune), a glucocorticoid, and sirolimus (Rapamune)
Which statement by the patient indicates understanding of the teaching?
a. "I should take sirolimus at the same time as the cyclosporine."
b. "I will need to have my blood sugar checked regularly."
c. "I will need to take an antibiotic to prevent lung infections."
d. "Taking this combination of drugs lowers my risk of kidney damage."
ANS: C
Immunosuppressant drugs increase the risk of infections, especially the BK virus, which can cause renal damage, and other organisms that cause lung infections. Patients taking these drugs must take antibiotics for the first 12 months to help prevent infection. Sirolimus and cyclosporine should be taken 4 hours apart. Patients with diabetes may have trouble with glucose tolerance and require monitoring. Taking cyclosporine and sirolimus increases the risk of renal damage.
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