Four Major Stages Of Gout

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Gout
Gout is a form of arthritis that is complex and very painful chronic disease that can spread to various joints in the body. Gout is one of most frequent medical illness written about throughout history. It remains a large problem because as many as 3 million Americans are affected by Gout, as stated in rheumatology.org.
It most often affects men but women are increasingly disposed to get gout after going through menopause. Also, patients with kidney disease are at risk for Gout and it has been known that hereditary, environmental and racial factors may have an impact the development of gout a disease that appears to be on the rise worldwide (Proquest.com). The disease typically causes sudden, severe attacks of pain, redness and tenderness
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1. Stage One is called asymptomatic Gout. There is a higher uric acid level in the blood but no apparent symptoms. There is no damage to the body at this stage. It is considered a warning sign that something is abnormal with the body. A blood test is the about the only way to detect the disease at this early stage.
2. Stage Two is called Acute Gout. In this stage, uric acid crystals begin to build up significantly in certain joints. This results in sudden onset of pain and swelling, typically happening at night . The attacks normally last for about 3 to 10 days and often can go away without treatment. The time can be shorter if proper treatment is received. If untreated , future attacks tend to last longer and can happen more and more frequently.
3. Stage Three is called “Interval Gout”. This is the stage between acute attacks. During this stage no symptoms are seen and the person has normal joint functions. It is known to be the best time to treat gout. If this stage is ignored the disease progresses to the last
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• Ultrasound scan can identify the affected joints.
• Dual energy CT Scan
The treatment of gout, per Medscape (2015) is done in three stages
1. Treat the acute attack.
2. Provide propholaxis medications to try to avoid further progress of gout.
3. Lower the patient’s level of urate to prevent flares of gout arthritis and to prevent deposits of urate crystals.
Medications that block uric acid may also be prescribed by the provider such as Oxidase inhibitors Aloprim, Luparin, Zyloprim and Uloric. These medications limit the amount of uric acid your body produces.
Nursing Diagnosis
• Impaired Physical Mobility r/t acute or chronic pain aeb swelling and redness in joints.
Intervention: Give Cold compress, it prevents pain impulses.
• Increased levels of uric acid r/t abnormal levels of purine.
Intervention: Administer medications such as allopurinol which reduces the production of uric acid in the body.
• Risk for impaired skin integrity r/t tophus (deposits of urate

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