Sulfasalazine: Action and Administration
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Questions and Answers

What is the primary mechanism of action for the drugs discussed in the content?

  • They enhance renal function to reduce inflammation.
  • They stimulate the production of salicylates in the intestine.
  • They inhibit the formation of leukotrienes and tumor necrosis factor. (correct)
  • They directly target the immune system's lymphocytes.
  • Which of the following is a contraindication for the use of sulfasalazine?

  • Urinary tract obstruction (correct)
  • History of hypertension
  • Chronic headaches
  • Diabetes mellitus
  • What should be monitored in a patient taking the medication discussed?

  • Only the frequency of medication administration
  • Baseline renal and liver function tests (correct)
  • Fluid intake exclusively
  • Only blood pressure and heart rate
  • What should be the method of administration for retention enemas?

    <p>At bedtime for better retention</p> Signup and view all the answers

    Which of the following is a possible adverse effect to monitor for with the medication?

    <p>Skin rash and pruritus</p> Signup and view all the answers

    What is the correct procedure for administering the medication discussed?

    <p>Administer orally as a time-release drug or as an enema</p> Signup and view all the answers

    Why is it important to follow a tapering dose with this medication?

    <p>To minimize the risk of side effects</p> Signup and view all the answers

    Which symptom is not a common sign to monitor for while on this medication?

    <p>Skin rash</p> Signup and view all the answers

    What condition's development must be monitored in patients taking this medication?

    <p>Cushing disease</p> Signup and view all the answers

    What is the main site of action for the time-release form of this medication?

    <p>Ileum and colon</p> Signup and view all the answers

    Study Notes

    Sulfasalazine Action

    • Sulfasalazine inhibits leukotrienes and tumor necrosis factor in the intestines.
    • The drug is metabolized by bacteria in the intestines to an active form that acts locally.
    • Sulfasalazine is administered orally, as an enema, or as a suppository.

    Sulfasalazine Administration

    • Administer oral forms of sulfasalazine with 8 oz of water.
    • Administer suppositories or retention enemas at bedtime.

    Sulfasalazine Contraindications

    • Hypersensitivity to sulfonamides or salicylates.
    • Intestinal or urinary tract obstruction.

    Sulfasalazine Potential Interactions

    • Potential adverse effect in patients taking heparin.

    Sulfasalazine Monitoring

    • Assess baseline renal function tests, liver function tests, and complete blood count (CBC).
    • Evaluate for therapeutic response including reduced number of stools, reduced mucus and blood, and improved stool consistency.
    • Monitor for possible adverse effects including headache, diarrhea, dizziness, rhinitis, sinusitis, or skin rash and pruritus.

    Administration

    • Administer orally as a time-release drug that dissolves in the ileum and colon
    • Can be administered as an enema for topical action

    Dosage

    • Follow tapering dose, as ordered by the provider.

    Monitoring

    • Monitor for signs of headache, acne, infections, and the development of Cushing disease.

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    Description

    Explore the key aspects of sulfasalazine, including its action mechanism, various administration methods, contraindications, and monitoring protocols. This quiz provides insights into the importance of proper administration and potential interactions of this medication.

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