Gout
Hereditary error of purine metabolism which leads to increased hyperuricemia. 90% of all gout cases
What is primary gout
Loss of production of language (BROCAS)
Expressive aphasia
Due to pulmonary htn that can cause right ventricular hypertrophy, JVD and hepatomegaly.
Cor Pulmonale
What medications may be given to a patient experiencing hepatic encephalopathy?
Lactulose or rifaximin
support therapy for hepatitis pts
antiemetics, antihistamines, AVOID TYLENOL
What is the most common site for gout?
great toe
refers to imperfect articulation that causes difficulty speaking
Dysarthria
Medication given to asthma pts once per month in a doctors office that has a high chance of causing anaphylaxis.
Anti-interleukin 5
4 common manifestations of bowel obstruction
abdominal pain, n/v, distention, constipation
Interferon or pegylated interferon
What causes increased episodes of gout and tophi?
high serum uric acid
^ metabolism, htn, tachycardia, splenomegaly, smooth moist skin, dependent edema, angina,
Side effects of ARBs
cough, hyperkalemia, hypotension, angioedema
where is the obstruction?
Colicky pain, high pitched sounds, hypovelemic shock, rapid onset
small bowel
Medication used to treat Hep B ptst by decreaseing viral RNA by inhibiting normal DNA synthesis
Nucloside/nucleotide analogs (epivar hbv, heptovir)
What medication is used to help assist with the diagnosis of gout?
blocks the release of T3 and T4 into circulation. decreases vascularity of thyroid and blood flow through the gland. used before surgery to treat crisis.
(Discharge teaching: adequate but not excessive intake)
If an asthma pt scores in the yellow zone of the peak flow meter, what should the do?
Take SABA, recheck peak flow in 20-30 min, if green, check again in 4 hours (if returns to yellow call doc), if after 20-30 minutes after SABA still yellow they need to call doc.
What is the biggest issue when caring for a pt with hepatic encephalopathy?
SAFETY
Medications to treat hep B that are used long term and must monitor for nephrotoxicity
lamivudine, adefovir, entecavir, telbivudine, tenofovir
What medication is prescribed to prevent gout exacerbations?
Zoyloprim (allopurinol)
Clinical Manifestations of Addisons disease
SUDDEN PAIN, SYNCOPY, SHOCK, SUPER LOW BP, SEVERE V/D, SERUM ELECTROLYTE IMBALANCES
Name different types of heart failure medications that inhibit RAAS
ACE inhibitors, ARBs, Aldosterone antagonists
Nursing interventions for intestinal obstruction
NPO, Iv fluids, monitor lytes and acid base, stomach decompression, pain management, oral care
What medication is used to treat chronic HEP C that can reactivate Hep B and can cause hemolytic anemia?
Direct acting antivirals (pibresntasiver/ glecaprevir)