GOUT Nursing Assignment Help
Introduction: Gout is another form of arthritis and the reason behind it is due to heavy amount of uric acid in the blood stream. Some sort of conditions such as metabolism disorder, dehydration can cause the deposition of uric acid in the blood. Kidney disease, thyroid disorder, inherited disease can even make the condition worse when the body wants to discard the excess uric acid. The following are some conditions for which someone can have the disease:
- Women after menopause condition or man of middle age.
- Having family history of gout.
- Having excess amount of purine rich food.
- Drinking alcohol.
- Having certain kind of medications.
L: The symptoms include:
- Acute joint pain (ankle, knees, elbows, wrists, fingers).
- Continuous discomforts.
- Swelling joints.
Diagnosis: The diagnosis generally based on the symptoms, physical examination, medical history and even the following points:
- Pain in joint and it’s intensity.
- The frequency of pain in joints.
- Redness of the affected area.
To check the level of uric acid the doctor needs to take a sample of fluid taken from the affected joints. The doctor may also recommend for X-ray, blood test, ultrasound.
Treatment: Gout treatment are mainly depends upon medical which can restrict the acute attacks and can prevent it.
- Nonsteroidalanti-inflammatorydrugs ( NSAIDs): Doctors prescribed it in a high dose to stop acute attacks and followed by small dose to restrict the attacks. The medications have the side effects like pain in stomach, ulcers, bleeding.
- Colchicine: It is a kind of pain reliever which reduce the intense pain effectively. But the high dose always have a side effects like nausea, vomiting, diarrhea.
- Corticosteroids: This can control pain as well as inflammation which comes in a pill form which can directly injected into the joints. Corticosteroids are for those patients who can’t take the above medications. But this has the side effects like mood swings, increasing blood sugar levels and blood pressure also.
- Medicationsthatblockuricacidlevel: This can help in reducing blood uric acid level and low down the risk of gout.
- Medications to improvetheuricacidremoval: The medications can enhance the ability of kidney to excrete the extra amount of uric acid from body.
- Restrict the alcohol intake and to drink a lot of fluid.
- Foods like sea foods, red meat, organ meat are not to be a part of food.
- Regular exercise, maintaining good health.