Summary
Summary Gout Cheat Sheet for Nursing
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Nursing care and summary of gout
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goutCharacterized the accumulation of acid crystals joints
by uric in one or more .
>
hereditary of purine metabolism secondary
- >
may be related to another acquired disorder
primary a error
-
leads to the overproduction or retention
of uric acid .
etiology and pathophysiology
* Uric acid is the major end product of purine catabolism and is excreted primarily by the kidneys .
*
Hyper uricemia may result from prolonged fasting or excessive alcohol drinking because of the increased producti
of keto acids , which then inhibit uric acid excretion .
clinical manifestations
Acute phase : gouty arthritis occur in more joints but usually fewer than four
may one or , .
Chronic gout is characterized by multiple joint involvement and visible deposits of sodium urate crystals called to
Large and
unsightly tophaceous deposits may perforate overlying skin ,
producing draining sinuses that often
become secondarily infected .
history and physical examination line .
family history )
elevated serum uric acid levels
elevated 24hr
diagnostic studies
uric acid in urine collection
presence of sodium urate crystals in synovial fluid ( controversial
joint aspiration
radiographic studies
collaborative care
*
weight reduction
* avoidance of alcohol and foods high in purine leg . anchovies ,
liver , wine ,
beer ) .
* prevention of formation of uric acid kidney stones and development of associated conditions such as
hyper triglyceride Mia and hypertension
*
joint aspiration and intra articular corticosteroids
-
*
joint immobilization
* local application of heat or cold
* drug therapy :
adrenocorticotropic hormone ( ACTH) febuxostat Caloric)
intra articular corticosteroids ( methyl prednisone acetate )
allopurinol lzyloprim )
-
colchicine NSAIDs leg naproxen )
corticosteroids ( prednisone) probenecid ( benuryl )
nursing management
for of for inflamed joints
*
nursing interventions clients with an acute episode gout include supportive care the
* the nurse must avoid causing pain to an inflamed joint by careless
handling
* bed rest
may be appropriate ,
with affected joints properly immobilized
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