Gout is a common and painful form of arthritis that causes swollen, hot and stiff joints. When uric acid crystallizes, it settles into the joints and body tissues, most frequently affecting the big toe and, if not treated, progresses to the ankles, heels, wrists and hands. This results in severe pain, stiffness and redness at the joint. Gout attacks often occur in the middle of the night when the joint is immobile. Once the initial pain has subsided, general discomfort of the area can last for several weeks.
Excessive amounts of uric acid in the blood is the primary cause of gout. Other factors include genetics, dietary factors, use of diuretics and the inability of the kidneys to excrete uric acid. As the uric acid accumulates, crystals of monosodium urate form in the joints and tissues. 90% of cases are caused by the underexcretion of uric acid. Dietary factors as a cause for gout only comprise about 12% of cases, but changes to the diet help reduce the risk.
Relieve acute attack, prevent future attacks, promote optimal excretion of urates
An acute attack can cause intense pain for the first 36 hours. Offer options to help manage pain.
Due to pain and inflammation, patients may require assistance with mobility for safe ambulation and transfer.
Evaluate erythema and joint edema to determine if interventions are effective at reducing inflammation.
Medications can help relieve the immediate symptoms while others are for long term management and prevention of flare-up recurrence.
Prevents dehydration and helps the kidneys excrete uric acid
Prevents joint stiffness and increases mobility
Dietary changes reduce the risk of recurrent gout attacks and lessen the severity of future attacks.
Patients should avoid foods high in purines as these will cause a buildup of uric acid within the body.
Create Your Free Account