Gout
definition
is the form of athritis associated with hypeuricaemia whereby uric acid crystala precipitate from the body and are deposited on the joints and connective tissue
causes
medical management
Excessive consumption of a high purine diet and alcohol
Error in Purina metabolism
common findings
health education
nursing management
Inflammation and swelling I the affected joint
Pain attacks usually at night and may last up to seven days
serum uric acid levels are elevated
Nonsteroid anti-inflammatory drugs will be given as prescribed
Elevate the limb and remove the weight of bedclothes
The nurse will rest the affected joint
The patient should limit or restrict high purine foods from his or her diet such as organ meats, poultry, fish, mushrooms and limit alcohol
nurse should teach about weight control of the patient is overweight
Test such as ultrasound will be done y detect urate crystals in a joint
Blood test wil be done to measure levels of uric acid and creatinine in blood
risk factors
Medical conditions such as diabetis
Diet that's high in meat and beverages sweetened with with fruit
Obesity
Family history of gout
Recent surgery or trauma
pathophysiology
Uric acid, the end product in purine metabolism is excreted by the kidneys.
Hyperuricaemia may be due to increased urine formation or decreased renal excretion.
Secondary gout may occur after dialysis due to loss of fluid and accumulation of uric acid
Lingering discomfort
Limited range of motion