Nursing 615 Exam 3 Review Maryville University

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