1|Page
Mega Review Exam 3 NURS 615 Questions and Answers with
100% Complete Solutions UPDATED!!!
*Dosing for low dose colchicine - ANSWER 1.2 mg followed by
0.6 one hour later or 1.8 mg total
*Dosing for high dose colchicine - ANSWER 1.2 mg followed by
0.6 mg every 4 to 6 hours; or 4.8 mg total.
What is the difference between low dosing and high dosing of
colchicine - ANSWER low dose is as effective as high dose with
lower side effect profile
What medication is used for gout? - ANSWER Colchicine
What does colchicine do? - ANSWER Used for gout and to treat
and prevent gout attacks. Also Behcets syndrome.
Sid effects of Cochicine - ANSWER Always Diarrhea. Upset
Stomach, nausea, abdominal pain.
,2|Page
Instructions for colchicine - ANSWER take with food to help
decrease GI side effects
What should be checked with colchicine? - ANSWER Renal
Function before and during treatment. (BUN, Creatinine)
Patient Education for Colchicine - ANSWER Always causes
severe degree of diarrhea so make sure that people understand
that.
Mr. Holloway presents to your clinic with a significantly swollen,
painful big toe and you diagnose him with gout. Of the
following options which would be the best treatment for Mr.
Holloway?
a. Acetaminophen with codeine
b. Low-dose colchicine
c. High-dose colchicine
d. High-dose aspirin - ANSWER Low-dose colchicine. Low-dose
colchicine is 1.2 mg followed by 0.6 mg one hour later or 1.8 mg
total. High-dose colchicine is 1.2 mg followed by 0.6 mg Q4 to
Q6 hours or 4.8 mg total. The difference between the two is
low-dose is as effective as high-dose with a lower side effect
profile.
,3|Page
Patient education when prescribing colchicine includes?
a. Moderate amounts of alcohol are safe with colchicine
b. Colchicine may be constipating
c. Colchicine always causes some degree of diarrhea
d. Mild muscle weakness is normal - ANSWER B. Colchicine
always causes some degree of diarrhea
What lab value should be monitored with gout? - ANSWER
Check renal function test, BUN, Creatine
Cholchesine - ANSWER for gout, think about alcohol
Allopurinol is used for what? - ANSWER Gout
MOA Allopurinol - ANSWER xanthine oxidase inhibitor. uric acid
reducer, prevents flare ups and kidney stones
SE of Allopurinol - ANSWER skin rash, flu like symptoms, painful
or little urination, drowsi, dizzy
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Monitor what with Allopurinol - ANSWER BUN, Creatinine, Liver
Function
You have a patient who is taking allopurinol to prevent gout.
What labs will you monitor for this patient on allopurinol?
a. Blood glucose
b. Complete blood count
c. BUN, creatinine, and creatinine clearance
d. C-reactive protein - ANSWER BUN, creatinine, and creatinine
clearance
Patient teaching for Uloric - ANSWER Gout may worsen with
therapy initially
Uloric other medication - ANSWER Febuxostat
Febuxostat (Uloric) MOA - ANSWER xanthine oxidase inhibitor,
uric acid reducer for its with gout and prevent flares.
SE of Febuxostat (Uloric) - ANSWER gout flares, nausea, mild
rash, liver problems, heart attack symptoms
Mega Review Exam 3 NURS 615 Questions and Answers with
100% Complete Solutions UPDATED!!!
*Dosing for low dose colchicine - ANSWER 1.2 mg followed by
0.6 one hour later or 1.8 mg total
*Dosing for high dose colchicine - ANSWER 1.2 mg followed by
0.6 mg every 4 to 6 hours; or 4.8 mg total.
What is the difference between low dosing and high dosing of
colchicine - ANSWER low dose is as effective as high dose with
lower side effect profile
What medication is used for gout? - ANSWER Colchicine
What does colchicine do? - ANSWER Used for gout and to treat
and prevent gout attacks. Also Behcets syndrome.
Sid effects of Cochicine - ANSWER Always Diarrhea. Upset
Stomach, nausea, abdominal pain.
,2|Page
Instructions for colchicine - ANSWER take with food to help
decrease GI side effects
What should be checked with colchicine? - ANSWER Renal
Function before and during treatment. (BUN, Creatinine)
Patient Education for Colchicine - ANSWER Always causes
severe degree of diarrhea so make sure that people understand
that.
Mr. Holloway presents to your clinic with a significantly swollen,
painful big toe and you diagnose him with gout. Of the
following options which would be the best treatment for Mr.
Holloway?
a. Acetaminophen with codeine
b. Low-dose colchicine
c. High-dose colchicine
d. High-dose aspirin - ANSWER Low-dose colchicine. Low-dose
colchicine is 1.2 mg followed by 0.6 mg one hour later or 1.8 mg
total. High-dose colchicine is 1.2 mg followed by 0.6 mg Q4 to
Q6 hours or 4.8 mg total. The difference between the two is
low-dose is as effective as high-dose with a lower side effect
profile.
,3|Page
Patient education when prescribing colchicine includes?
a. Moderate amounts of alcohol are safe with colchicine
b. Colchicine may be constipating
c. Colchicine always causes some degree of diarrhea
d. Mild muscle weakness is normal - ANSWER B. Colchicine
always causes some degree of diarrhea
What lab value should be monitored with gout? - ANSWER
Check renal function test, BUN, Creatine
Cholchesine - ANSWER for gout, think about alcohol
Allopurinol is used for what? - ANSWER Gout
MOA Allopurinol - ANSWER xanthine oxidase inhibitor. uric acid
reducer, prevents flare ups and kidney stones
SE of Allopurinol - ANSWER skin rash, flu like symptoms, painful
or little urination, drowsi, dizzy
, 4|Page
Monitor what with Allopurinol - ANSWER BUN, Creatinine, Liver
Function
You have a patient who is taking allopurinol to prevent gout.
What labs will you monitor for this patient on allopurinol?
a. Blood glucose
b. Complete blood count
c. BUN, creatinine, and creatinine clearance
d. C-reactive protein - ANSWER BUN, creatinine, and creatinine
clearance
Patient teaching for Uloric - ANSWER Gout may worsen with
therapy initially
Uloric other medication - ANSWER Febuxostat
Febuxostat (Uloric) MOA - ANSWER xanthine oxidase inhibitor,
uric acid reducer for its with gout and prevent flares.
SE of Febuxostat (Uloric) - ANSWER gout flares, nausea, mild
rash, liver problems, heart attack symptoms
