Which condition(s) and/or circumstance(s) warrant caution when colchicine is used for a patient with gout? (Select all that apply.)
a. Older adult
b. Compromised immunity
c. Psychosis
d. Renal failure
e. Cardiac compromise
ANS: A, D, E
Colchicine must be used with extreme caution in older adults or debilitated patients, patients with impaired renal function, and patients with impaired cardiac function. Colchicine can be used in immunocompromised patients. Patients with psychosis can use colchicine for treatment of gout.
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