<h3><strong>Pathophysiology: </strong><span style="color: #222222; font-family: Roboto, arial, sans-serif; font-size: 16px; font-weight: 400; white-space: normal;">Gout is a joint disorder. Uric acid crystals form from the body breaking down purines and high levels are then in the blood. These crystals will then accumulate in the joints causing inflammation and pain.<br />
</span><strong><br />
Overview</strong></h3>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Joint disorder caused by buildup of uric acid crystals in the body</span></li>
</ol>
<h3><strong>Nursing Points</strong></h3>
<h4><span style="font-weight: 400;">General</span></h4>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Hyperuricemia</span>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">↑ Purine metabolism</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">↓ Renal excretion of uric acid</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Dietary intake of purines</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Alcohol intake</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Hereditary</span></li>
</ol>
</li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Uric Acid crystals deposit in joints and body tissues</span></li>
</ol>
<h4><span style="font-weight: 400;">Assessment</span></h4>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Painful joint inflammation and swelling</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Tophi &#8211; nodules in skin near joints</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Pruritus = itching</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Renal Calculi due to excess uric acid</span></li>
</ol>
<h4><span style="font-weight: 400;">Therapeutic Management</span></h4>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Avoid purines</span>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Organ meat</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Wine</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Aged Cheese</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Meats, especially seafood</span></li>
</ol>
</li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Adequate fluid intake</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Bed rest during exacerbations</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Medications</span>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Anti-inflammatories</span>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">NSAIDs</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Corticosteroids</span></li>
</ol>
</li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Antihyperuricemics</span>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Allopurinol (control)</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Colchicine (for flares)</span></li>
</ol>
</li>
</ol>
</li>
</ol>
<h4><span style="font-weight: 400;">Nursing Concepts</span></h4>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Comfort</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Mobility</span></li>
</ol>
<h3><strong>Patient Education</strong></h3>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Foods to avoid (purines)</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Fluid intake 2-3L per day unless contraindicated</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Take all medications as prescribed</span></li>
</ol>
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    <center>
        <span>Want to learn more?<br>View a suggested lesson</span><h4 style="margin: 10px;"><a href="https://admin.nursing.com/lesson/nursing-care-plan-for-gout-gouty-arthritis/" style="text-decoration:none;">Nursing Care Plan (NCP) for Gout / Gouty Arthritis</a></h4></center>
  </div>


Med-Surg | Musculoskeletal

gout

Nursing Care and Pathophysiology for Gout

<p>In this course, you'll be able to learn different mnemonics that will help you to remember the need to know nursing information!</p>


nursing-mnemonics-cram

Aortic Aneurysm – Management Nursing Mnemonic (CRAM)

nursing-mnemonics-pee-bads

Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)

nursing-mnemonics-sad

Aortic Stenosis Symptoms Nursing Mnemonic (SAD)

nursing-mnemonics-be-joan-of-arc

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

nursing-mnemonics-toilet-paper-my-ass

Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

nursing-mnemonics-the-5-ps

Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

nursing-mnemonics-i-have-a-right-to-camp-if-you-left-off-the-ac

Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)

nursing-mnemonics-please-read-his-text

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

nursing-mnemonics-unload-fast

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

nursing-mnemonics-the-4-ts

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

nursing-mnemonics-chop

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

nursing-mnemonics-left-lung-right-rest

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

nursing-mnemonics-head

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

nursing-mnemonics-ape-to-man

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

nursing-mnemonics-the-4-cs

Hypertension- Complications Nursing Mnemonic (The 4 C’s)

nursing-mnemonics-diuretic

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

nursing-mnemonics-vak

Increase MAP Nursing Mnemonic (VAK)

nursing-mnemonics-hard-ass-mrs-msd

Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)

nursing-mnemonics-tv-sparc-cube

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

nursing-mnemonics-his-leg-might-fall-off

Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)

nursing-mnemonics-cold-hand

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

nursing-mnemonics-triple-h-therapy

Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)

Cardiovascular (Cardiac, CVD) Mnemonics

nursing-mnemonics-kult

Anion Gap Acidosis 1 Nursing Mnemonic (KULT)

nursing-mnemonics-mudpiles

Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)

nursing-mnemonics-rome

Arterial Blood Gases Nursing Mnemonic (ROME)

nursing-mnemonics-universally-odd

Blood Type O Nursing Mnemonic (Universally Odd)

nursing-mnemonics-piso

Electrolytes – Location in Body Nursing Mnemonic (PISO)

nursing-mnemonics-groans-moans-bones-stones-overtones

Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)

nursing-mnemonics-machine

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

nursing-mnemonics-dry-hot-insulin-shot

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

nursing-mnemonics-aired

Hyperkalemia – Management Nursing Mnemonic (AIRED)

nursing-mnemonics-murder

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

nursing-mnemonics-model

Hypernatremia – Causes Nursing Mnemonic (MODEL)

nursing-mnemonics-salt

Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)

nursing-mnemonics-cats

Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

nursing-mnemonics-tired

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

nursing-mnemonics-6-ls

Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)

nursing-mnemonics-salt-loss

Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)

nursing-mnemonics-all-dogs-eat-kibble

Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)

nursing-mnemonics-birth-control

Vitamins – Water Soluble Nursing Mnemonic (Birth Control)

Electrolytes & Labs Mnemonics

nursing-mnemonics-batted

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

nursing-mnemonics-beep

Bleeding Complications (Minor) Nursing Mnemonic (BEEP)

nursing-mnemonics-mr-dice-runs

Mnemonic for Organ Systems (MR DICE RUNS)

nursing-mnemonics-randi

Bleeding Precautions Nursing Mnemonic (RANDI)

nursing-mnemonics-coal

Canes Nursing Mnemonic (COAL)

nursing-mnemonics-clpn

Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

nursing-mnemonics-cho-cho-chon

CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

nursing-mnemonics-map-it

Community Health Tool Nursing Mnemonic (MAP-IT)

nursing-mnemonics-i-prepare

Environmental Health Assessment Nursing Mnemonic (I PREPARE)

nursing-mnemonics-fit

Exercise Guidelines Nursing Mnemonic (FIT)

nursing-mnemonics-pass

Fire Safety 1 Nursing Mnemonic (PASS)

nursing-mnemonics-race

Fire Safety 2 Nursing Mnemonic (RACE)

nursing-mnemonics-brow

Gluten Free Diet Nursing Mnemonic (BROW)

nursing-mnemonics-kings-eat-big-cakes

High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)

nursing-mnemonics-scum

IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)

nursing-mnemonics-never-carry-dirty-socks-or-smelly-clothes

Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)

nursing-mnemonics-cake-everyday

Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)

nursing-mnemonics-opqrst

Pain Assessment Questions Nursing Mnemonic (OPQRST)

nursing-mnemonics-precede-proceed

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

nursing-mnemonics-pooper-scoop

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

nursing-mnemonics-perrla

Pupil Reactions Nursing Mnemonic (PERRLA)

nursing-mnemonics-madle

Safety Check Nursing Mnemonic (MADLE)

nursing-mnemonics-sbar

SBAR Communication Nursing Mnemonic (SBAR)

nursing-mnemonics-soapie

Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)

nursing-mnemonics-fast

Stoke Assessments Nursing Mnemonic (FAST)

nursing-mnemonics-adpie-a-delicious-pie

Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)

nursing-mnemonics-aapie-an-apple-pie

Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)

nursing-mnemonics-abcdefghi

Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)

nursing-mnemonics-traumatic

Trauma – Complications Nursing Mnemonic (TRAUMATIC)

nursing-mnemonics-ample

Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

nursing-mnemonics-start

Triage Nursing Mnemonic (START)

nursing-mnemonics-wandering-wilma-always-late

Walkers Nursing Mnemonic (Wandering Wilma Always Late)

old-carts

OLD CARTS Mnemonic (OLD CARTS)

Fundamentals & Nursing Process Mnemonics

nursing-mnemonics-anorexia

Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)

nursing-mnemonics-pains

Appendicitis – Assessment Nursing Mnemonic (PAINS)

nursing-mnemonics-bulimia

Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)

nursing-mnemonics-washed

Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)

nursing-mnemonics-christmas

Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

nursing-mnemonics-please-bring-happy-energy

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

nursing-mnemonics-bad-hits

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

nursing-mnemonics-brat

Diarrhea – Treatment Nursing Mnemonic (BRAT)

nursing-mnemonics-please-fix-his-abscess-soon

Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)

nursing-mnemonics-air-raid

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

nursing-mnemonics-reflux-is-probably-mean

GERD causes Nursing Mnemonic (Reflux Is Probably Mean)

nursing-mnemonics-her-belly-really-hurts-following-dinner

Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)

nursing-mnemonics-5-fs

Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)

nursing-mnemonics-the-3-cs

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

At Risk for Gout Nursing Mnemonic (MALE)

Included In This Lesson

Outline

MALE

Description

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Nursing Mnemonics

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