The nurse is caring for a patient diagnosed with rheumatoid arthritis (RA) who recently underwent a liver transplant. What immunosuppressant could this patient be prescribed that would treat both diagnoses?
A) Anakinra (Kineret)
B) Adalimumab (Humira)
C) Sirolimus (Rapamune)
D) Cyclosporine (Sandimmune)
A
Feedback:
Anakinra is used to prevent rejection after kidney or liver transplantation and also reduces signs and symptoms of RA in patients who have had inadequate response to other drugs. Adalimumab would be effective for the patient's RA but would not prevent rejection of the transplanted liver. Sirolimus is used to prevent rejection of kidney transplants but would not be effective for either of the patient's diagnoses. Cyclosporine would be appropriate to prevent liver rejection but would not treat RA.
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