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Hey guys nurse mike here and welcome to simplenursing.com before we get today’s lectures started please remember check out our brand new app and get access to our new pharmacology and med surg mastery courses plus 11 other courses like fundamentals pediatrics maternity mental health and more complete with over 300 follow along cheat sheets and a massive quiz bank
Loaded with detailed rationales to test your knowledge join for free click the link in our description below alright guys let’s begin starting with gout we have allopurinol and colchizine these drugs are given to patients with gout where a lot of uric acid builds up causes inflammation in the joints so naturally it’s a uric acid reducer now normally uric acid
Is excreted by the kidneys so it also helps with kidney stones and helps with tumor lysis syndrome that tls which can lead to kidney injury now the big key difference is elliperanol prevents the gout to reduce uric acid and colchizine is given for acute gout attacks with the coltrazine so the key point is that these drugs are not used to reduce pain but rather
To reduce the uric acid which reduces the inflammation again not for pain directly since it’s not an analgesic now one question bank says allopurinol do not take for acute gout attacks and colchizine is for the acute attack and does not provide pain relief now naproxen the nsaid is used for pain relief with gout and a kaplan question says i can use ibuprofen for
Pain during gout now the big key points for allopurinol we stop taking if we see a mild rash and we report to the hcp immediately that’s the biggest nclex tip there it could mean deadly stephen johnson syndrome or even toxic epidural necrolysis fancy words for really bad skin rash now the memory trick we use is rash all over for aloperanol is very deadly so even
A mild rash we stop taking and we report to the provider now next we also increase fluids and we take with a full glass of water this is done to prevent kidney clogging like a kidney stone and promote uric acid excretion this was mentioned in two different quiz banks so a hesi question has a question about a client that needs further teaching when taking allopurinol
Stating i will limit my fluid intake with this medication so that is the correct option there now lastly we avoid clients with kidney and liver disease and we always monitor labs for liver and renal function and we evaluate the effectiveness by checking normal uric acid levels but these are not priority teaching over increased fluid intake remember increase fluid
Intake to excrete that uric acid and prevent those kidney stones remember fluid is the main priority here the fluid fluid fluid so patient teaching for allopurinol is that it may take several months to work this was mentioned by only one question bank and again it’s not for acute attacks remember the p in allopyrinol prevents the long-term gout and the c in
Colchizine is for acute attacks and then lastly once again nsaids are for pain during those attacks thanks for watching for our full video and new quiz bank click right up here to access your free trial and please consider subscribing to our youtube channel last but not least a big thanks to our team of experts helping us make these great videos alright guys see you next time
Transcribed from video
Pharmacology – Gout drugs, Allopurinol, Colchicine for nursing RN PN NCLEX By Simple NursingliveBroadcastDetails{isLiveNowfalsestartTimestamp2020-12-06T220010+0000endTimestamp2020-12-06T220611+0000}
