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    Gout

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    Gout is a condition related to a genetic defect in purine metabolism that results in elevated uric acid levels in the blood and body tissues. It causes painful inflammation in joints, especially those of the big toes. Risk factors include diuretic use, foods high in purines, obesity, and excess alcohol consumption. Diagnosis involves examining synovial fluid from an inflamed joint for urate crystals. Treatment depends on the stage of gout, and may include colchicine, NSAIDs, or allopurinol to lower uric acid levels and prevent recurrent attacks. Nursing care focuses on education, diet modification, weight loss, and pain management.

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    Gout

    Uploaded by

    api-3822433
    147 views2 pages
    Gout is a condition related to a genetic defect in purine metabolism that results in elevated uric acid levels in the blood and body tissues. It causes painful inflammation in joints, especially those of the big toes. Risk factors include diuretic use, foods high in purines, obesity, and excess alcohol consumption. Diagnosis involves examining synovial fluid from an inflamed joint for urate crystals. Treatment depends on the stage of gout, and may include colchicine, NSAIDs, or allopurinol to lower uric acid levels and prevent recurrent attacks. Nursing care focuses on education, diet modification, weight loss, and pain management.

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    Gout is a condition related to a genetic defect in purine metabolism that results in elevated uric acid levels in the blood and body tissues. It causes painful inflammation in joints, especially those of the big toes. Risk factors include diuretic use, foods high in purines, obesity, and excess alcohol consumption. Diagnosis involves examining synovial fluid from an inflamed joint for urate crystals. Treatment depends on the stage of gout, and may include colchicine, NSAIDs, or allopurinol to lower uric acid levels and prevent recurrent attacks. Nursing care focuses on education, diet modification, weight loss, and pain management.

    Copyright:

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    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    147 views2 pages

    Gout

    Uploaded by

    api-3822433
    Gout is a condition related to a genetic defect in purine metabolism that results in elevated uric acid levels in the blood and body tissues. It causes painful inflammation in joints, especially those of the big toes. Risk factors include diuretic use, foods high in purines, obesity, and excess alcohol consumption. Diagnosis involves examining synovial fluid from an inflamed joint for urate crystals. Treatment depends on the stage of gout, and may include colchicine, NSAIDs, or allopurinol to lower uric acid levels and prevent recurrent attacks. Nursing care focuses on education, diet modification, weight loss, and pain management.

    Copyright:

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    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
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    Gout

    Sue Renfrow RN, BSN


    Gout
    *A heterogeneous group of conditions related to a genetic defect
    of purine metabolism resulting in hyperuricemia. Check uric acid
    levels (know these levels)
    Risk Factors
    *Hyperuricemia
    *Medication
    *Diuretics, low-dose aspirin, cyclosporine, nicotinic acid
    *Food high in purines (shellfish, organ meats, beer)
    *Ethanol use
    *Secondary
    *Leukemia
    *Myeloma
    *Anemia
    *Psoriasis
    Associated Clinical Conditions
    *Hypertension
    *Chronic kidney disease
    *Obesity
    *Hyperlipdemia; hypertriglyceridemia
    *Insulin resistance, diabetes mellitus
    *Cardiovascular disease
    Clinical Manifestations
    *Acute gouty arthritis subsides in 3-10 by itself
    *Intercritical gout (middle phase)
    *Chronic tophaceous (little areas that stick out on the side)
    Differential Diagnosis
    *MSU crystals in synovial fluid
    *Fever, leucocytosis & elevated ESR
    *X-Rays show soft tissue swelling
    Medical Management
    *Acute
    *Colchicine (administer at onset of symptoms), NSAIDs, glucocorticoids
    *Intercritical- breaks out in between acute and chronic times
    *Colchicine, NSAIDs
    *Chronic
    *Uricosuric agents (allopurinol-lowers blood uric acid levels-worry about
    kidneys-kidney stone) KNOW THESE MEDS p.1631
    Nursing Management
    *Encourage healthy diet
    *Weight loss
    *Pain management
    *Educate (limit alcohol consumption)

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