Exam (elaborations)

Maryville NURS 615 Pharmacology Test 3 (2024) Newest Questions and Answers (Verified Answers)

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Maryville NURS 615 Pharmacology Test 3 (2024) Newest Questions and Answers (Verified Answers) How do antigout medications work?: by inhibiting the infiltration and phagocytosis of leukocytes, thus decreasing the breakdown of uric acid to urate crystals. 2. Deposition of urate crystals causes: pai...

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Uploaded on October 27, 2024
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Contains Questions & answers

maryville nurs 615 pharmacology test 3

Institution Maryville NURS 615
Course Maryville NURS 615

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Pharm test 3 Maryville NURS 615.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Pharm%20test%

NURS 615 PHARM TEST 3 MARYVILLE

1. How do antigout medications work?: by inhibiting the infiltration and phagocy-

tosis of leukocytes, thus decreasing the breakdown of uric acid to urate crystals.

2. Deposition of urate crystals causes: pain and inflammation

3. What is Colchicine: anti-gout medication

4. how does Colchicine work?: Works by inhibiting inflammation, reducing pain

and swelling

5. common side effects of Colchicine: GI problems (diarrhea) use with caution in

elderly

Also can cause blood dyscrasias & abdominal pain

6. patient education with Colchicine: Can be given with food & milk to decrease GI

issues

Avoid beer, ale, & wine: may cause gout attack Increase

fluid intake: increases excretion of uric acid Avoid

smoked meats & high-protein diets

7. Low dose of Colchicine: Low dose colchicine is 1.2mg followed by 0.6mg one

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hour later or 1.8 milligrams total

8. High dose of Colchicine: high dose colchicine is 1.2mg followed by 0.6mg every four

to six hours; or 4.8mg total.

9. Difference between high dose and low dose Colchicine: The difference be-

tween the two is low dose is as effective as high dose with a lower side effect profile.

10. Lab values to monitor with Colchicine: Check renal function test, BUN, Cre-

atine

11. Patient education with Colchicine: Almost always causes some degree of

diarrhea, make sure patients are aware of this side effect

12. Patient education with Febuxostat (Uloric): Gout may worsen with therapy

initially

13. Dietary changes to decrease gout attacks and uric acid deposits.: Avoid

beer, ale, & wine

Increase fluid intake: increases excretion of uric acid

Avoid smoked meats & high-protein diets

14. WHO 3 step ladder for pain medication:

15. What is not a first line for pain medication?: Narcotics

16. Recommendations for pain treatment: You want to start with NSAIDs first and

then work your way up from there.

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17. types of Corticosteroid treatment: Prednisone, Cortisone, Dexamethasone

18. how do Corticosteroids work?: Suppress the inflammatory & immune systems by

inhibiting the synthesis of chemical mediators.

19. what are the chemical mediators that Corticosteroids work on?: -

Prostaglandins, leukotrienes, & histamines

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20. Corticosteroids and inflammation: Decreases inflammation which decreases

swelling, warmth, redness, & pain.

21. Uses for corticosteroid treatment: Addison's disease, hormone replacement,

cancer therapy

SLE, arthritis, IBD, & to suppress graft rejection

22. contraindications for corticosteroid treatment: Systemic fungal infections &

with live vaccine

23. Use corticosteroids cautiously with:: Pregnancy, kids, HTN, heart failure,

renal impairment, & with infections resistant to treatment

24. Patient education with corticosteroids: Don't discontinue abruptly, doses may

need increased during stress, symptoms of Cushing's and GI bleeding

25. Problem with taking Corticosteroids for greater than 6 months: 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.

26. Other common side effects with Corticosteroids: Peptic ulcers, GI bleeding,

edema, hyperglycemia, delayed wound healing, fluid & electrolyte imbalances

27. Why is it important to tapper the corticosteroid?: Tapering must be done

carefully to avoid both recurrent activity of the underlying disease process and

possible cortisol deficiency resulting from the hypothalamic-pituitary-adrenal axis or

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