A client is being treated for inflammatory bowel disease (IBD). The nurse anticipates receiving orders for which medications?
Standard Text: Select all that apply.
1. Loperamide (Imodium)
2. Doxepin (Sinequan)
3. Sulfasalazine (Azulfidine)
4. Prednisone
5. Azathioprine (Imuran)
Correct Answer: 3,4,5
Rationale 1: Loperamide (Imodium), an antidiarrheal, is effective at relieving symptoms of diarrhea in clients with IBS.
Rationale 2: For many years, tricyclic antidepressants such as doxepin (Sinequan) have been used to treat clients with IBS who have pain as a major symptom.
Rationale 3: The first step of IBD treatment is usually with a 5-aminosalicylic acid (5-ASA) agent, which can include sulfasalazine (Azulfidine).
Rationale 4: When IBD is especially severe or when clients have not responded well to the 5-ASA drugs, oral corticosteroids such as prednisone are used.
Rationale 5: Should therapy with corticosteroids fail, or if they are needed for prolonged periods, step 3 of IBD therapy includes immunosuppressive agents, such as azathioprine (Imuran).
Global Rationale: The first step of IBD treatment is usually with a 5-aminosalicylic acid (5-ASA) agent, which can include sulfasalazine (Azulfidine). When IBD is especially severe or when clients have not responded well to the 5-ASA drugs, oral corticosteroids such as prednisone are used. Should therapy with corticosteroids fail, or if they are needed for prolonged periods, step 3 of IBD therapy includes immunosuppressive agents, such as azathioprine (Imuran). Loperamide (Imodium), an antidiarrheal, is effective at relieving symptoms of diarrhea in clients with IBS. For many years, tricyclic antidepressants such as doxepin (Sinequan) have been used to treat clients with IBS who have pain as a major symptom.
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