Hyperuricemia and Gout (CH 13)

Question 1

Gout

Answer 1

Metabolic disease associated with high uric acid in the blood

Question 2

Uric Acid

Answer 2

formed by the breakdown of proteins; accumulation causes kidney stones/ failure, gouty arthritis, hyperuricemia

Question 3

Acute Gout

Answer 3

Treated with NSAIDS, corticosteroids, Colchicine/Probenecid

Question 4

Colchicine

Answer 4

decreases swelling and uric acid buildup, relieving pain

Question 5

Probenecid

Answer 5

speeds up removla of uric acid by the kidneys

Question 6

Alopeci

Answer 6

hair falling out

Question 7

Chronic Gout

Answer 7

Allopurinol: prevents formation of uric acid (can cause hepatotoxicity)

Question 8

Gouty Arthritis

Answer 8

Pt give NSAIDS, Indomethacin, Naproxen, or Sulindac (indocin, aleve, clinoril)

Question 9

Uricosuric Agents

Answer 9

• Probenecid (Benemid); can cause headaches and dizziness

* Sulfinpyrazone (Anturane): can cause NVD

Question 10

Nursing Precautions

Answer 10

Monitor lab values of uric acid and urine ouput while on any drug to relieve gout

Question 11

The nurse anticipates that colchicine/probenecid will be administered how often?

Answer 11

every 1-2 hours

Question 12

What should the client be monitored for while on colchicine/probenecid that would indicate the therapy should be terminated?

Answer 12

leukopenia

Question 13

The nurse recognizes that the effectiveness of colchicine/probenecid on gouty arthritis is…

Answer 13

about 90%

Question 14

The nurse should teach the client to report to their health care provider if what side effect is present while taking colchicine/probenecid?

Answer 14

nausea

Question 15

When taking allopurinol for long term gout treatment, the nurse will teach the client what?

Answer 15

to inform their primary care provider if they develop a skin rash

Question 16

Which drug does the nurse identify as preventing the formation of uric acid in the body?

Answer 16

febuxostant (Uloric)