CMN 574 Unit 2 Exam Questions and Answers 100% Solved | Graded A+
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Course
CMN 574
Institution
CMN 574
CMN 574 Unit 2 Exam Questions and
Answers 100% Solved | Graded A+
How to evaluate the patient with arthritis... - Joint pattern
-Inflammation?
-How many joints are involved?
-Which joints are affected?
Presence or absence of extra-articular manifestations?
-Fever
-Rash
-Nodules
Examining ...
Patients with gout have an increased incidence of HTN, DM, CKD,
Hypertriglyceridemia and atherosclerosis
Gouty Arthritis Treatment - ✔✔-Great response to oral NSAIDS
Naprosyn 500 mg BID
Indomethacin 25-50 mg every 8 hours (tough on stomach)
-Colchicine: Loading dose 1.2 mg followed by 0.6 mg one hour later then
0.6 mg QD or BID for prophylaxis
-Xanthine Oxidase Inhibitors-lower Plasma uric acid levels by blocking the
final enzymatic steps of uric acid production
-Allopurinol-100 mg PO QD and can be titrate up every 2-5 weeks. The
usual dose to decrease symptoms is 300 mg PO QD with a max dose of
800 mg PO QD. Use cautiously with CKD patients and will cause a rash in
20% of patients taking this drug with Ampicillin
-Febuxostat-40 mg PO QD and if target acid level is not obtained my be
increased to 80 mg PO QD then to 120 mg PO QD
-Corticosteroids: Prednisone 40-60 mg QD for 2-5 days and then taper off
-Avoid excessive alcohol especially beer, low & high purine foods (organ
meats, yeast, seafood), high fructose corn syrup. Table 20-5.
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