Dyslipidemia

Diabetes
Osteoarthritis
Male
Kidney Disease
Age
Diagram Key (Beta) Hypertension
BMI
Diuretic Use
Heredity
Etiology Alcohol
Consumption
Clinical Manifestation
Diet
Signs/Symptoms

Pathophysiology

Medical Management

Precipitating Factors hyperurecemia

Predisposing Factors
(serum concentration > 6.8 mg/dL)
Diagnostic Test

Nursing Diagnosis

Complications

Surgical Management uric acid is a

Side Effects
breakdown
product of
Nursing Interventions
purine
Prognosis metabolism

increased uric decreased

excess uric
acid excretion of
acid
production uric acid

rise in uric acid

Asymptomatic
concentration
Hyperurecemia in the blood

- Abnormally High Level

of Uric Acid
Monosodium
urate crystals
accumulate in
joints, leading
to the Acute Gouty Arthtritis
recruitment of
macrophages
and resulting
in inflammation
- Sudden Swelling
- Excruciating pain
(peaking within several
hours)
- Low-grade fever
Synovial Fluid
Aspiration
Gouty Arthritis
- fever
- NSAIDs - headache
(Indomethacine) - vomiting
If Treated: If Left Untreated: - ringing in the ears
Reduction of Uric Acid to Permanent Joint
dissolve the crystals that Damage Interleukin-1
causes Gout Beta is - upset stomach
secreted, - trouble sleeping
- Cortecosteroid
increasing - weight gain
inflammation - Increased appetite

- black, tarry stools

- muscle weakness
Repeated - Colchicine
- chills
attacks
- diarrhea
Tophi accumulates
Kidney Stones Chronic Tophaceous sodium urate
Tophi Removal
Gout crystals "tophi"
Kidney Failure
in the
peripheral
- Multiple Joint areas
Involvement
- Visible deposits of
"tophi"
- Slow progrezzive
disability

- drowsiness
- Xanthine oxidase - fever
inhibitors - chills
(allopurinol & febuxostat) - nausea
- diarrhea

Disturbed Body Image r/t

body consciousness as
evidenced by visible joint
deformities

-Evaluate pt. behaviour

regarding actual
changed body part or
function
-Evaluate the patient?s
verbal remarks about the
actual or perceived
change in body part or
function.
-Assess pt's basic sense
of self-worth
-Assess for
signs/symptoms of social
withdrawal

Activity Intolerance r/t joint Impaired Skin Integrity r/t

Pain r/t joint inflammation inflammation and pain
secondary to gout as tophi as evidenced by
secondary to gout as purplish, black skin tissue
evidenced by pain scale of evidenced by pain scale of
10/10 and irritability and swelling around the inital
8/10, and verbalization of injury
tiredness

-Assess patient VS. Ask pt to -Assess pt. activities of daily -Assess the site of impaired
rate pain from 1-10 and living and as well as tissue and its conditions
describe the pain she/he is perceived limitations to -Assess characteristics of
experiencing physical activity. wound (color, odor, size:
-Administer pain medication length, width, depth)
as prescribed -Encourage progressive -Administer pain medication
-Reposition pt. in his/her activity through self-care and as prescribed
comfortable/preferred exercise as tolerated -Monitor the status of the
position skin around the wound and
-Encourage pursed lip -Administer pain medication also monitor pt. skincare
breathing and deep breathing as prescribed products
exercises