A primary care NP prescribes probenecid to treat a patient who has gout.The patient comes to the clinic 2 weeks later with severe flank pain.The NP should:

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Uricosuric agents are tubular blocking agents and decrease serum uric acid levels by increasing urinary excretion of uric acid.During this process,high concentrations of uric acid develop in the proximal renal tubules and may predispose the patient to the development of urinary stones.Patients should be encouraged to drink plenty of fluids.The patient who presents with flank pain should be questioned about fluid intake.If fluid intake is sufficient and renal stones are ruled out,a urinary tract infection may be considered.Allopurinol is not indicated.NSAIDs are not indicated.

A Primary Care NP Prescribes Probenecid to Treat a Patient