gout
The patient was instructed in gout the importance to rise fluid drinking and evade high-purine foods. The patient was advised to rest with elevation of the affected joint with pillows, ice applications to irritated joints. The patient was taught in range-of-motion exercises of joints. The patient was reviewed that gout cannot be cured but can be measured with medication.
SN instructed patient to follow a low purine diet to help minimize acute gout attacks by limiting meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. SN instructed pt/cg to cut back on fat since saturated fat lowers the body's ability to eliminate uric acid. Also instructed patient Limit or avoid foods sweetened with high-fructose corn syrup. Fructose is the only carbohydrate known to increase uric acid. It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks. Juices that are 100 percent fruit juice do not seem to stimulate uric acid production as much. SN also discussed to choose complex carbohydrates and explained to patient/cg that pt will need to eat more whole grains and fruits and vegetables and fewer refined carbohydrates, such as white bread, cakes and candy. SN advised CG to ensure that pt. drinks plenty of fluids, particularly water. Fluids can help remove uric acid from your body.
Sn explain that the joint pain can affect one or more joints. The joint pain can be caused by many types of injuries or conditions. It may be linked to arthritis, bursitis, and muscle pain. No matter what causes it, this can be very bothersome. Some things that can cause joint pain are: Autoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Crystals in the joint: Gout ( especially found in the big toe ) and Calcium pyrophosphate deposition (CPPD ) ( pseudo gout ) Infections caused by a virusInjury, such as a fracture Osteoarthritis Osteomyelitis ( bone infection ), Septic arthritis ( joint infection ) Tendinitis Unusual exertion or overuse, including strains or sprains.
SN instructed patient on Gout. It is a painful form of inflammatory arthritis caused by an accumulation of uric acid crystals in the joints. It is associated with elevated levels of a natural waste product in the body, uric acid. Uric acid can build up in your bloodstream to very high levels and form urate crystals in your joints. The first attack is likely to be on a foot or most commonly a big toe.
Instructed patient about the uses of Allopuriniol. This medication is used to treat Gout, hyperuricemia associated with malignancies and calcium calculi.
Patient/caregiver instructed Allopurinol reduces the production of uric acid in your body. Uric acid buildup can lead to gout or kidney stones. Take once daily as ordered with a full glass of water. Medication may weaknen your immune system, avoid sick persons. Common side effects are vomiting, diarrhea; drowsiness, headache; changes in your sense of taste; or muscle pain. Notify SN/MD if experiencing bothersome or unusual side effects.
Instructed patient on new medication Sulindac. Sulindac is a nonsteroidal anti-inflammatory drug (NSAID). Sulindac works by reducing hormones that cause inflammation and pain in the body. Sulindac is used to treat pain or inflammation caused by arthritis, ankylosing spondylitis, tendinitis, bursitis, or gout. Patient verbalized understanding.