1 Gout-Primary diagnosis- Gout has increased in the United States over the last several years. It is one of the most prevalent rheumatic diseases. It can present as an acute episodic arthritis (Khanna et al., 2012). The majority of patients with gout are men over the age of 30. It can effect one or more joints. It is painful, red, swollen and warm to the touch (Papadakis, & McPhee, 2013).
2 Hypertension- Hypertension is very prevalent in the United States. It is also associated with a two to three-fold increase of gout (McAdams-DeMarco, Maynard, Baer, & Coresh, 2012). Treatment of high blood pressure reduces cardiovascular disease and stroke. Practice guidelines from the Joint National Committee (JNC) advocate a sitting blood pressure of 140/90 …show more content…
Mobic 7.5mg PO daily. Norvasc 2.5mg PO daily. Lipitor 10mg PO daily. Allopurinol is a Xanthine oxidase inhibitor (XOI) and considered the first-line therapy for the treatment of gout (Khanna et al., 2012). “Allopurinol, an analog of the purine-based hypoxanthine, inhibits the conversion of hypoxanthine and xanthine to uric acid by xanthine oxidase (xanthine oxido-reductase)” (Hershfield et al., 2013, p. 154). Mobic is an Nonsteroidal Anti-inflammatory Drugs (NSAIDs). NSAIDs are widely prescribed medications that help reduce inflammation. The exact mechanism of action is unknown. NSAIDs inhibit cyclooxygenase, this reduces prostaglandin and thromboxane synthesis reducing inflammation and pain (Chen, Zhang, & Zhang, 2015). I chose Norvasc and Lipitor because they did not have any adverse reactions or interactions that contraindicated use. I would also educate the patient on a TLC diet. This is a low saturated, low cholesterol diet that will help with high cholesterol. They need to focus on weight control and increasing physical activity. They need to also be educated on a low-purine diet. They should avoid red meat, seafood, organ meat, yeast, beer, beans, peas, lentils, oatmeal, spinach, asparagus, cauliflower and mushrooms. Which could trigger another
2 Hypertension- Hypertension is very prevalent in the United States. It is also associated with a two to three-fold increase of gout (McAdams-DeMarco, Maynard, Baer, & Coresh, 2012). Treatment of high blood pressure reduces cardiovascular disease and stroke. Practice guidelines from the Joint National Committee (JNC) advocate a sitting blood pressure of 140/90 …show more content…
Mobic 7.5mg PO daily. Norvasc 2.5mg PO daily. Lipitor 10mg PO daily. Allopurinol is a Xanthine oxidase inhibitor (XOI) and considered the first-line therapy for the treatment of gout (Khanna et al., 2012). “Allopurinol, an analog of the purine-based hypoxanthine, inhibits the conversion of hypoxanthine and xanthine to uric acid by xanthine oxidase (xanthine oxido-reductase)” (Hershfield et al., 2013, p. 154). Mobic is an Nonsteroidal Anti-inflammatory Drugs (NSAIDs). NSAIDs are widely prescribed medications that help reduce inflammation. The exact mechanism of action is unknown. NSAIDs inhibit cyclooxygenase, this reduces prostaglandin and thromboxane synthesis reducing inflammation and pain (Chen, Zhang, & Zhang, 2015). I chose Norvasc and Lipitor because they did not have any adverse reactions or interactions that contraindicated use. I would also educate the patient on a TLC diet. This is a low saturated, low cholesterol diet that will help with high cholesterol. They need to focus on weight control and increasing physical activity. They need to also be educated on a low-purine diet. They should avoid red meat, seafood, organ meat, yeast, beer, beans, peas, lentils, oatmeal, spinach, asparagus, cauliflower and mushrooms. Which could trigger another