A patient has undergone liver transplantation. The provider orders cyclosporine [Sandimmune], prednisone, and sirolimus [Rapamune]. What will the nurse do?
a. Question the order for sirolimus.
b. Request an order for a serum glucose lev-el.
c. Request an order for a macrolide antibiot-ic.
d. Suggest changing the cyclosporine to ta-crolimus.
A
Sirolimus is given to prevent rejection in renal transplantation; it has no proof of efficacy in pa-tients with heart, lung, or liver transplants. A serum glucose level is not indicated; patients taking repaglinide for diabetes should be monitored closely while taking cyclosporine. Although antibi-otic prophylaxis may be necessary, macrolide antibiotics increase the level of cyclosporine. Ta-crolimus is more toxic than cyclosporine.
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Accurate, complete, and appropriate nursing entries in a client chart include: Standard Text: Select all that apply
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