NURS 615 - Pharm Exam 3 Study Guide 2024

Low-dose colchine - Correct Answer 1.2 mg at first sign of flare, followed by 0.6 mg one hour later for a total dose of 1.8 mg. High-dose colchine - Correct Answer 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg. Gout - Correct Answer BUN, creatinine, and creatinine clearance should be monitored in the treatment of this disease Colchine - Correct Answer This medication can cause severe diarrhea, nausea, vomiting, abdominal pain Febuxostat (Uloric) - Correct Answer When prescribing this medication, patients should be taught that gout may worsen with therapy before it improves Corticosteroids - Correct Answer 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. Corticosteroids - Correct Answer 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 - Correct Answer 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 - Correct Answer When treating this common issue, it is recommended to begin with NSAIDS and work up from there as needed Ibuprofen - Correct Answer This medication works by inhibiting the COX enzymes; however, the exact mechanism of action for this particular medication is unknown. Acetaminophen - Correct Answer A serious adverse effect related to this medication is referred to as "------------- poisoning" Symptoms of hypoglycemia - Correct Answer Decreased LOC, hunger, diaphoresis, weakness, dizziness and tachycardia Symptoms of hyperglycemia - Correct Answer Polyuria, polydipsia and polyphagia (weight loss)