◦Case Study: Rheumatoid Arthritis

 Case Study A 50 year old woman has had rheumatoid arthritis for 3 years and has been taking multiple NSAID’s. She has taken corticosteroids a few times during flare ups. The disease seems to be progressing with stiffness and swelling in her hands and wrists. Examination reveals rheumatoid nodules, synovitis of both wrists and metacarpo-phalangeal joints. This is an indication of an acute exacerbation of rheumatoid arthritis. She is prescribed methotrexate with sulfasalazine and a short course of prednisone. Assignment Questions 1.What is the mechanism of action of prednisone? 2.What is the concern with chronic treatment with glucocorticoids? 3.What is the mechanism of action of methotrexate and sulfasalazine. 4.What are the side effects of methotrexate and sulfasalazine Instructions •Prepare and submit a 3-4 page paper [total] in length (not including APA format). •Answer all the questions above. •Support your position with examples. •Please review the rubric to ensure that your assignment meets criteria. •Submit the following documents to the Submit Assignments/Assessments area: ◦Case Study: Rheumatoid Arthritis Please use the below for one of the references Teri Moser Woo & Marylou V. Robinson (2016). Pharmacotherapeutics for advanced practice nurse prescribers. F.A. Davis Co.: Philadelphia, PA

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