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Summary Gout Cheat Sheet for Nursing CA$11.06
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Summary Gout Cheat Sheet for Nursing

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Nursing care and summary of gout

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  • February 20, 2022
  • 1
  • 2020/2021
  • Summary
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marthakane
gout
Characterized 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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