Elscores19/08/2024 14:27:30
Maryville University Nursing 615 Exam 3
Review Questions and Correct Answer
Low-dose colchine
✓ ~: 1.2 mg at first sign of flare, followed by 0.6 mg one hour later for a total dose of 1.8
mg. Used for gout
High-dose colchine
✓ ~: 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg.- not recommended/ used
for gout
Gout
✓ ~: Uric acid, liver and kidney lab, BUN, creatinine, and creatinine clearance should be
monitored in the treatment of this disease, CBC if colchicine is used
Colchine
✓ ~: This medication treats gout, can cause severe diarrhea, nausea, vomiting, abdominal
pain
Febuxostat (Uloric)
✓ ~: When prescribing this medication, patients should be taught that gout may worsen
before it improves. Can use NSAID or colchicine with treatment for up to 6 months.
Preventative therapy
Corticosteroids adverse effects
✓ ~: These medications can cause the following adverse effects if taken for six months or
more: Osteoporosis and poor diabetic control. Patients should report black, tarry stools or
abdominal pain...more
, Elscores19/08/2024 14:27:30
Corticosteroids
✓ ~: These medications should be tapered to avoid recurrent activity of the underlying
disease and possible cortisol deficiency resulting from the hypothalamic-pituitary-adrenal
axis suppression during the period of steroid therapy.
Black Box Warning on NSAIDS
✓ ~: Increased risk of serious cardiovascular thrombotic events, such as myocardial
infarction and stroke. These medications can also cause serious GI events such as
bleeding, ulceration or perforation of stomach or intestines, which can be fatal.
Pain management
✓ ~: Non-opioid first choice- especially for inflammatory pain (NSAID). May use Tylenol for
non-inflammatory pain
Ibuprofen
✓ ~: Non-selective COX-2 inhibitor, inhibits COX-2 which decreases prostaglandin
synthesis in mediating inflammation, pain, fever, and swelling
Acetaminophen
✓ ~: Liver failure / renal failure
Symptoms of hypoglycemia
✓ ~: Decreased LOC, hunger, diaphoresis, weakness, dizziness and tachycardia
Symptoms of hyperglycemia
Maryville University Nursing 615 Exam 3
Review Questions and Correct Answer
Low-dose colchine
✓ ~: 1.2 mg at first sign of flare, followed by 0.6 mg one hour later for a total dose of 1.8
mg. Used for gout
High-dose colchine
✓ ~: 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg.- not recommended/ used
for gout
Gout
✓ ~: Uric acid, liver and kidney lab, BUN, creatinine, and creatinine clearance should be
monitored in the treatment of this disease, CBC if colchicine is used
Colchine
✓ ~: This medication treats gout, can cause severe diarrhea, nausea, vomiting, abdominal
pain
Febuxostat (Uloric)
✓ ~: When prescribing this medication, patients should be taught that gout may worsen
before it improves. Can use NSAID or colchicine with treatment for up to 6 months.
Preventative therapy
Corticosteroids adverse effects
✓ ~: These medications can cause the following adverse effects if taken for six months or
more: Osteoporosis and poor diabetic control. Patients should report black, tarry stools or
abdominal pain...more
, Elscores19/08/2024 14:27:30
Corticosteroids
✓ ~: These medications should be tapered to avoid recurrent activity of the underlying
disease and possible cortisol deficiency resulting from the hypothalamic-pituitary-adrenal
axis suppression during the period of steroid therapy.
Black Box Warning on NSAIDS
✓ ~: Increased risk of serious cardiovascular thrombotic events, such as myocardial
infarction and stroke. These medications can also cause serious GI events such as
bleeding, ulceration or perforation of stomach or intestines, which can be fatal.
Pain management
✓ ~: Non-opioid first choice- especially for inflammatory pain (NSAID). May use Tylenol for
non-inflammatory pain
Ibuprofen
✓ ~: Non-selective COX-2 inhibitor, inhibits COX-2 which decreases prostaglandin
synthesis in mediating inflammation, pain, fever, and swelling
Acetaminophen
✓ ~: Liver failure / renal failure
Symptoms of hypoglycemia
✓ ~: Decreased LOC, hunger, diaphoresis, weakness, dizziness and tachycardia
Symptoms of hyperglycemia
