This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with gout who has increasingly frequent acute gouty attacks will begin receiving ... (Read 78 times)

Jipu 123

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
A patient with gout who has increasingly frequent acute gouty attacks will begin receiving allopurinol (Zyloprim) and colchicine. The nurse will include which statement when teaching the patient about this drug regimen?
 
  a. Allopurinol helps reduce the gastrointestinal side effects of colchicine.
  b. Allopurinol reduces the likelihood of gouty episodes that usually occur with initial colchicine therapy.
  c. The colchicine is given to enhance the effects of the allopurinol.
  d. You will take both drugs initially and then stop taking the colchicine.

Question 2

A patient is being treated with warfarin (Coumadin) to prevent thrombus. The patient develops hyperuricemia, and the provider orders allopurinol (Zyloprim). The nurse will contact the provider to discuss _____ the _____ dose.
 
  a. increasing; allopurinol
  b. increasing; warfarin
  c. reducing; allopurinol
  d. reducing; warfarin


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ju

  • Sr. Member
  • ****
  • Posts: 325
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Colchicine is used for prophylaxis when urate-lowering drugs, such as allopurinol, are initiated, because gouty episodes have a tendency to increase during this time. Patients start with both drugs, and ultimately the colchicine is withdrawn. Allopurinol does not affect the GI side effects caused by colchicine. Allopurinol may precipitate an acute gouty attack when treatment is begun; colchicine is given to prevent a gouty episode. Colchicine does not enhance the effects of allopurinol.

Answer to Question 2

ANS: D
Allopurinol can inhibit hepatic drug-metabolizing enzymes and thus delay the inactivation of other drugs. This is a particular concern in patients taking warfarin; therefore, the warfarin dose should be reduced when allopurinol is also used. It is not correct to increase the allopurinol dose, increase the warfarin dose, or reduce the allopurinol dose.


Jipu 123

  • Member
  • Posts: 569
Reply 2 on: Jul 23, 2018
Gracias!

Kedrick2014

  • Member
  • Posts: 359
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

The small intestine. Anterior view of the abdominopelvic cavity illustrating how the three sections The small intestine. Anterior view of the abdominopelvic cavity illustrating how the three sections
Measuring Patient Height Measuring Patient Height
Effects of nursing rounds on patient safety Effects of nursing rounds on patient safety
Like most world-changing inventions, the printing press of fifteenth-century Europe took advantage o Like most world-changing inventions, the printing press of fifteenth-century Europe took advantage o
Some common eye disorders. (D) Conjunctival hemorrhage of the right eye of this patient with ... Some common eye disorders. (D) Conjunctival hemorrhage of the right eye of this patient with ...
Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum. Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum.
Video: Phases of an Action Potential - Resting Potential, Threshold, Rising, Falling, & Recovery Phases

For a complete list of videos, visit our video library