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Author Question: A patient who is taking colchicine for gout is in the clinic 1 week after beginning the medication. ... (Read 82 times)

kaid0807

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on: Jul 24, 2018
A patient who is taking colchicine for gout is in the clinic 1 week after beginning the medication. The patient reports decreased appetite and nausea. The primary care NP should:
 
  a. suspect worsening of gouty arthritis.
  b. order vitamin B12 levels to assess for vitamin deficiency.
  c. discontinue the colchicine for 48 hours until symptoms subside.
  d. reassure the patient that these are common, temporary side effects.

Question 2

A 12-year-old patient who is obese develops type 2 diabetes mellitus. The primary care NP should order:
 
  a. nateglinide (Starlix).
  b. glyburide (Micronase).
  c. colesevelam (Welchol).
  d. metformin (Glucophage).


Animal_Goddess

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Reply #1 on: Jul 24, 2018
Answer to Question 1

C
Colchicine toxicity causes nausea, vomiting, and anorexia. When toxicity is suspected, the medication should be temporarily discontinued and restarted after symptoms subside.

Answer to Question 2

D
Metformin is the only drug listed that is recommended for children.


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kaid0807

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Reply #2 on: Jul 24, 2018
Both answers were spot on, thank you once again


Animal_Goddess

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Reply #3 on: Jul 24, 2018
Great! Please up vote :D


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Colchicine is a highly poisonous alkaloid originally extracted from a type of saffron plant that is used mainly to treat gout.

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