A liver transplant client on cyclosporine reports new excess… | MyMerci
Medical Emergencies PA
Question

A liver transplant client on cyclosporine reports new excessive hair growth, gum overgrowth, and tremor. Which is the nurse's most appropriate response?

Explanation
Correct (2): Cyclosporine classic effects: hirsutism, gingival hyperplasia, tremor, hypertension, nephrotoxicity. Oral hygiene with regular dental cleanings reduces gum overgrowth. Switching to tacrolimus (no hirsutism/gum issues) is common if cosmetic effects are intolerable. (1,3,4) Wrong.

In-depth explanation

Memory Tip Cyclosporine = "Cycle-of-Hair-Gums-Tremor". Tacrolimus = "Diabetes-Neuro-Tox" but no hirsutism. Both nephrotoxic; both CYP3A4.

Clinical scenario

Scenario 36-year-old female on cyclosporine for liver transplant; new hirsutism, gingival hyperplasia, tremor.

Key concepts

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