Gout

Question 1

what is it

Answer 1

genetic affect of purine met results in hyperuricemic
uric acid deposits in joints
renal defect - kid stones

Question 2

Where does it Trophi effect 4

Answer 2

great toe
hand
ear
knee

Question 3

Clinical manifestn 4

Answer 3

pain red swolling
trophi
warmth in area
urinary calculi

Question 4

Triggers 6

Answer 4

Trauma - no bed sheet on area
ETOH
Diet hi in purines
Meds
Surgical stress
illness

Question 5

Diagnosis

Answer 5

synovial fluid aspiration (uric acid crys under microscope)

Question 6

MED management 6

meds what they do side effects

Answer 6

cholinichine- give when attack first behins increase dose until pain releace or diarrhia _ Gi sympt
NSAID- indomethacin
corticosteriod
uricosurics - probenecid- correct hyperuricemia se Gi and freg urine
XAnaathine oxidase inhib- allopurinol- decr serum urine level- give if kid stone risk se GI drowsy
Fubuxostat- not respn c usually txt

Question 7

Nursing managemnt 6
diet
dos donts

Answer 7

urine alkaline- citris fruits0 oranges limes grapefruit
Black chery juice
avoid ASA
Normal bdy wt- gradual wt reduction
Limit ETOH
No foods hi in Purines

Question 8

Purine foods 5

Answer 8

shellfish, organ meats, anchovies, asparagus, mushrooms