A form of arthritis characterized by severe burning pain, redness, tenderness and stiffness in joints. Gout is a kind of arthritis caused by uric acid crystals forming in one or more joints.
- Usually start at night
- Very common in the big toe joint but can also occur in other joints
- Affected joint becomes red, feels hot, and painful.
- Pain increases when the joint is touched.
Causes & Risk Factors
- Foods that are rich in purines increase the risk for gout – Salmon, sardines, organ meats, asparagus, mushrooms and herring are examples of foods rich in purines.
- Gout is hereditary.
- Overweight, Alcohol, High cholesterol, Diabetes, high blood pressure
- Men develop gout more often than women.
- Pain relievers & anti-inflammatory medications – Motrin, Advil and Naproxen
Patient teaching – Teach patient to
- Take all medication as prescribed.
- Inform the MD before taking any aspirin product because aspirin can interfere with other medications
- Lose weight if patient is overweight.
- Seek treatment promptly for high blood pressure, high cholesterol or diabetes
- Follow diet prescribed – low-salt, & low-fat diet.
- To avoid alcohol and foods that are high in purines.
- To drink lots of water to help flush uric acid from the body.
- When gout is not treated, a gout attack can last for days or even weeks.
- Prolong attacks for many years may lead to TOPHI – uric acid crystals that form lumps under the skin.
- Tophi usually form on the toes, fingers, hands and elbows.
- Gout may also lead to kidney disease or kidney stones from uric acid crystals that collect in the urinary tract.
Reference: Lewis & Heitkemper, Med-Surg Nursing 2007
Rophem Nursing 🙂