Author Question: A patient calls the clinic to report severe exacerbation of gout. The patient says, My probenecid ... (Read 283 times)

ahriuashd · **on:** Jul 23, 2018

A patient calls the clinic to report severe exacerbation of gout. The patient says, My probenecid (Probalan) is not helping. The nurse would consider which information before responding?

1. The patient is confused on the drug name as probenecid (Probalan) is administered intravenously.
2. The patient will not have relief of pain until probenecid (Probalan) levels are increased, which takes at least 48 hours.
3. Probenecid (Probalan) is not used to treat acute attacks of gout.
4. The patient should take the probenecid (Prolan) with an acidic drink like orange juice.

Question 2

The nurse is caring for a client who has a morphine (Astramorph PF) patient-controlled analgesia (PCA). Which medication should the nurse ensure is readily available?

1. Meperidine (Demerol)
2. Naloxone (Narcan)
3. Butorphanol (Stadol)
4. Codeine

jjorrostieta · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3
Rationale 1: Probenecid (Probalan) is taken orally.
Rationale 2: There is no need to wait 48 hours for pain relief.
Rationale 3: Probenecid (Probalan) is not used for relief of gouty arthritis because it has no anti-inflammatory properties.
Rationale 4: There is no need to take this medication with an acidic drink.

Global Rationale: Probenecid (Probalan) is not used for relief of gouty arthritis because it has no anti-inflammatory properties. There is no need to wait 48 hours for pain relief. Probenecid (Probalan) is taken orally. There is no need to take this medication with an acidic drink.

Answer to Question 2

2

Rationale 1: Meperidine (Demerol) is an opioid agonist with high effectiveness.
Rationale 2: Naloxone (Narcan) is an opioid antagonist used for opioid overdose and postoperative opioid depression.
Rationale 3: Butorphanol (Stadol) is an opioid with mixed agonistantagonist effects.
Rationale 4:Codeineis an opioid agonist with moderate effectiveness.

Global Rationale: Naloxone (Narcan) is an opioid antagonist used for opioid overdose and postoperative opioid depression. Meperidine (Demerol), butorphanol (Stadol), and codeine are opioid agonists.