chapter 32 part 7 Flashcards
what is the common problem w/ arthritis that requires the pt to rest
fatigue
during acute phase the pt should
balance rest w/ exercise
how many time should exercise be done
3 to 10 times for each joint
w/ the lower number used on days when pain or fatigue increased
heat is better
for subacute or chronic joint inflammation
cold is more effective
in the acute phase when joint are to hot red obviously inflamed
for dry heat heat type of lamp is convenient
therapeutic infrared lamp and is inexpensive for home use
for treatment of the hand what type of bath is effective
paraffin’s bath
in a hot tub what temp should you not exceed
102
whirlpool bath promotes e
relaxation and motion w/ minimal pain
why should you not emerge a pt whole body in warm water
because it can cause physiologic changes in respiration and pulse rate
what type of support should a pt w/ RA have
evaluate for coping
the pt should have support group
encourage verbalization
express appearance
arthritis of a joint caused by high serum levels of uric acid
grout
where do Uric acid crystal come from
the body fluid and settle in joint and connective tissue
gout affect more
men or women
and what population is it common among
men and generally occurs during middle age
population that consume high-protein dt
what are possible factors of gout
genetic increased in purine metabolism leading to overproduction or retention of uric acid
consumption of a high-purine dt
when genetic increased in purine metabolism it can lead to
leads to overproduction or retention of uric acid
excessive alcohol consumption can cause
increase production of kept acid that inhibit uric acid= hyperuricemia
what can cause kidney stone
when deposit of crate crystal occurs in the joint and subcutaneous tissues
where is the most common site where grout occur
big toes
Diuretic therapy may cause
secondary gout from fluid loss that increase the serum uric acid level in the body
what can cause secondary gout
diuretic therapy
and
certain drug that interfere w/ uric acid
is caused by calcium pyrophosphate crystal
and what is it also called
pseudogout
calcium pyrophosphate disease
what are some s/s of gout
elevated serum uric acid
tight reddened skin over an inflamed
edematous joint
elevated temperature
extreme pain in the joint
how is gout DX
what is needed to confirm the DX
history and physical examination
arthrocentesis
why is it important to rule out septic arthritis
because it can cause joint destruction within 24 hours w/out treatment
what are not helpful for DX in early stage of the gout
imaging studies
renal function should be done
prior to initiating drug therapy
treatment of during acute attack consist of administration of
NSAIDs for 2 to 5 days
Colchicine is given orally may bring what
dramatic pain relief w/in 24 to 48 hours
what are some other medication given for gout
allopurinol,
probenecid (Benemid)
Febuxostat (Uloric)
lesinurad (Zurampic)
when is an IV infusion Pegloticase given
a pt who do not respond to other therapies
what are some nursing management for a pt w/ gout
teaching the pt about their medication and s/s
dt management- wt control
restriction of high-purine food and alcohol
fluid I&O 2000 to 3000 ml
what are some food that should be avoid if the pt has gout
anchovies
sardines
sweetbread
liver
bacon
what should you remind a pt taking allopurinol
do a liver test periodic
