A client is taking colchicine for gouty arthritis and furosemide (Lasix) for treatment of congestive heart failure. What should the nurse include in the medication teaching for this client regarding adverse reactions?

Question

1. GI upset is common, and could be intensified.
2. The client should be monitored for signs of bleeding.
3. Skin rashes are common.
4. The client should call the physician if there is no improvement in gout symptoms.

Answer 1

Correct Answer: 1

Rationale 1: Colchicine interacts with many drugs. Loop diuretics can decrease colchicine's effects; GI upset can increase with the use of NSAIDs; phenylbutazone can increase the risk for blood disorders; and skin rashes can occur with alcohol use, or using products that contain alcohol.
Rationale 2: This is not an interaction between the two prescribed medications.
Rationale 3: This is not an interaction between the two prescribed medications.
Rationale 4: Although the client may need to notify the physician if symptoms do not improve, this is not appropriate teaching in regards to adverse reactions.

Global Rationale: Colchicine interacts with many drugs. Loop diuretics can decrease colchicine's effects; GI upset can increase with the use of NSAIDs; Phenylbutazone can increase the risk for blood disorders; and skin rashes can occur with alcohol use, or using products that contain alcohol. Although the client may need to notify the physician if symptoms do not improve, this is not appropriate teaching in regards to adverse reactions.