KNow the drug name, its class and other medications in the same class
In this case the name of the drug is Azathioprine (imuran). The class is immunosuppressant and other medications in the same class are Basiliximab, Daclizumab, Cyclosporine,Muromonab,Mycophenolate, Sirolimus and Tacrolimus.
Know the physiologic action
Immunosuppressants inhibit the inflammatory response and block immune response to antigens.They inhibit the T cells and block the production of antibodies.
Know the therapeutic action
The reason why an immunosuppressant may be given is that they prevent rejection of organs that have been transplanted. They also help with rheumatoid athritis by decreasing the immune response
KNow the side effect
Hepatotoxicity and or nephrotoxicity
There is an increased risk of infection due to the depressed immune system
Pulmonary edema,alopecia,hypotension,skin rash
Bone marrow suppression,thrombocytopenia and suprainfection
Know what labs to monitor
SInce this medication affects the liver and kidney, then studies on these 2 should be monitored
Monitor platelet count, complete blood cell count
KNow what the nursing interventions may be
Assess for signs and syptoms of infection
Provide supportive care ofr flu like symptoms
Assess nutritional status
Teach client the need for lab studies, infection prevention and about their medication
Other things you need to know
Azatioprine is contraindicated in pregnany, lactation or in a case of alergy to the medication