Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
*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.
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
,Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
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.
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
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
,Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
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
Febuxostat (Uloric) need to monitor what? - ANSWER liver and renal function
Patient education for Uloric - ANSWER Got may worsen with therapy initially
What medication can you take with Uloric? - ANSWER NSAID or colchicine for up to 6 months w/
beginning of treatment for gouty flare ups
Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be educated
on what to expect.
a. Feuxostat may cause severe diarrhea
b. He will need frequent CBC monitoring
c. He should consume a high-calcium diet
d. Gout may worsen with therapy - ANSWER D. Gout may worsen with therapy
, Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
ADV effects of corticosteroids if given longer than 6 months? - ANSWER The main thing you want to
worry about is osteoporosis, it can also worsen diabetic control and patients should report any tarry
black stools or abdominal pain. PEPTIC ULCER DISEASE.
What should long term corticosteroids be used for? - ANSWER Exacerbation of autoimmune diseases,
and in bursts for type 1 hypersensitivity reactions/sensitivities.
Risk for long term corticosteroids? - ANSWER Decreased ability to fight infections, slow immune
response, osteoporosis, increased blood glucose
Recommendations for patients who are taking long term corticosteroids - ANSWER Getting vaccinations
Corticosteroids medication ending - ANSWER "sone"
Corticosteroids are used to treat what? - ANSWER RA, lupus, asthma, allergies
SE of corticos - ANSWER High BP, weight gain, muscle weakness, insomnia
ADV of corticos after 6 months - ANSWER osteoporosis, can also worsen diabetic control (raise BGL)
What should be given with corticosteroids? - ANSWER vitamin supplements
What should be reported with corticosteroids - ANSWER black tarry stool and abdominal pain
What can happen with long term therapy of corticosteroids? - ANSWER Adrenal Suppression
S/S of adrenal suppression - ANSWER malaise, myalgia, fever, hypotension.
Don't do what with corticosteroids? - ANSWER Stop Abruptly, must taper off
complete solutions Graded A+.
Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
*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.
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
,Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
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.
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
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
,Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
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
Febuxostat (Uloric) need to monitor what? - ANSWER liver and renal function
Patient education for Uloric - ANSWER Got may worsen with therapy initially
What medication can you take with Uloric? - ANSWER NSAID or colchicine for up to 6 months w/
beginning of treatment for gouty flare ups
Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be educated
on what to expect.
a. Feuxostat may cause severe diarrhea
b. He will need frequent CBC monitoring
c. He should consume a high-calcium diet
d. Gout may worsen with therapy - ANSWER D. Gout may worsen with therapy
, Mega Review Exam 3 NURS 615 with 398
complete solutions Graded A+.
ADV effects of corticosteroids if given longer than 6 months? - ANSWER The main thing you want to
worry about is osteoporosis, it can also worsen diabetic control and patients should report any tarry
black stools or abdominal pain. PEPTIC ULCER DISEASE.
What should long term corticosteroids be used for? - ANSWER Exacerbation of autoimmune diseases,
and in bursts for type 1 hypersensitivity reactions/sensitivities.
Risk for long term corticosteroids? - ANSWER Decreased ability to fight infections, slow immune
response, osteoporosis, increased blood glucose
Recommendations for patients who are taking long term corticosteroids - ANSWER Getting vaccinations
Corticosteroids medication ending - ANSWER "sone"
Corticosteroids are used to treat what? - ANSWER RA, lupus, asthma, allergies
SE of corticos - ANSWER High BP, weight gain, muscle weakness, insomnia
ADV of corticos after 6 months - ANSWER osteoporosis, can also worsen diabetic control (raise BGL)
What should be given with corticosteroids? - ANSWER vitamin supplements
What should be reported with corticosteroids - ANSWER black tarry stool and abdominal pain
What can happen with long term therapy of corticosteroids? - ANSWER Adrenal Suppression
S/S of adrenal suppression - ANSWER malaise, myalgia, fever, hypotension.
Don't do what with corticosteroids? - ANSWER Stop Abruptly, must taper off
