CASE STUDY FOR PHARMACOLOGY?

CASE STUDY FOR PHARMACOLOGY?A 49 yr. construction worker was admitted to the ER with severe pain in large toe of right foot. The toe had been sore the nite before, but this was because the client had a minor accident at work. The health care provider did a radiograph of the foot, and a routine lab evaulation. All the lab result were within normal limits, except for a blood uric acid value of 12 mg/dl. The diagnosis of gout was made and the following was prescribed.
colchicine 0.5 mg tablets, 1 each hr. until pain subsides
aspirin 325 mg tablets 2 prn
after using 5 doses of colchincine, the client has relief, but develops severe diarrhea and nausea.

1. Could the clients minor accident have contributed to the precipitation of an acute gout attack?

2. What may be the reason these symptoms have occurred and what alterations could be made to control them?

3. What nursing measures could help relieve the client's toe pain?

4. Would the use of probenecid with colchicine hbe logical therapy to control the clients pain? Explain.

5. What effect would the client's use of aspirin have on the effectiveness of probenicid?
Thank you

kelly d
Dont know much about the nursing side of gout to be honest... but... a couple of things... one that dose for colchicine is incorrect.. the max dose is 1.8 mg... usually 1.2 mg PO, followed by 0.6 mg PO after that, and thats it for the day.

Also for the aspirin that raises uric acid levels, so if it is being used for pain it should be D/Ced and maybe switch to an NSAID.

Sorry I couldnt answer your Qs tho

Give your answer to this question below! Gout - information, symptoms and treatments. Googout.info health information factsheet - advice on gout and its symptoms, causes and treatment, plus prevention through diet.

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