MARYVILLE UNIVERSITY NURSING 615 EXAM 3 REVIEW. WITH VERIFIED ANSWERS,A+GRADED...

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Low-dose colchine - CORRECT ANSWER -1.2 mg at first sign of flare, followed by 0.6 mg one hour
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later for a total dose of 1.8 mg. Used for gout
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High-dose colchine - CORRECT ANSWER -1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg.-
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not recommended/ used for gout
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Gout - CORRECT ANSWER -Uric acid, liver and kidney lab, BUN, creatinine, and creatinine clearance
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should be monitored in the treatment of this disease, CBC if colchicine is used
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Colchine - CORRECT ANSWER -This medication treats gout, can cause severe diarrhea, nausea,
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vomiting, abdominal pain
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Febuxostat (Uloric) - CORRECT ANSWER -When prescribing this medication, patients should be
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taught that gout may worsen before it improves. Can use NSAID or colchicine with treatment for up
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to 6 months. Preventative therapy
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Corticosteroids adverse effects - CORRECT ANSWER -These medications can cause the following
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adverse effects if taken for six months or more: Osteoporosis and poor diabetic control. Patients
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should report black, tarry stools or abdominal pain...more
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Corticosteroids - CORRECT ANSWER -These medications should be tapered to avoid recurrent activity
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of the underlying disease and possible cortisol deficiency resulting from the
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hypothalamic-pituitary-adrenal axis suppression during the period of steroid therapy. n n n n n n n n

, Black Box Warning on NSAIDS - CORRECT ANSWER -Increased risk of serious cardiovascular
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thrombotic events, such as myocardial infarction and stroke. These medications can also cause
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serious GI events such as bleeding, ulceration or perforation of stomach or intestines, which can be
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fatal.
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Pain management - CORRECT ANSWER -Non-opioid first choice- especially for inflammatory pain
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(NSAID). May use Tylenol for non-inflammatory pain
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Ibuprofen - CORRECT ANSWER -Non-selectiveCOX-2 inhibitor,inhibits COX-2 which decreases
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prostaglandin synthesis in mediating inflammation, pain, fever, and swelling
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Acetaminophen - CORRECT ANSWER -Liver failure / renal failure n n n n n n n n




Symptoms of hypoglycemia - CORRECT ANSWER -Decreased LOC, hunger, diaphoresis, weakness,
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dizziness and tachycardia
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Symptoms of hyperglycemia - CORRECT ANSWER -Polyuria, polydipsia and polyphagia (weight loss)
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Symptoms of DKA - CORRECT ANSWER -Kussmaul's respiration, ketone odor of the breath (fruity
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breath), vomiting, dehydration, abdominal pain, and neurologic symptoms such as lethargy; can
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progress to coma in later stages if left untreated.
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Metformin - CORRECT ANSWER -This medication decreases hepatic glucose output inhibiting
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gluconeogenesis. It also increases insulin mediated glucose utilization in peripheral tissues. This
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medication decreases intestinal absorption of glucose. This medication may also be used in
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diabetics to decrease cholesterol and triglyceride levels.
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