nursing management of gout ppt
Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Is it septic? Increased thyroid-stimulating hormone (TSH) secretion –negative feedback mechanism Gout should be considered a chronic disease of MSU crystal deposition. PowerShow.com is a leading presentation/slideshow sharing website. View Week+7+Presentation+Pharm.pptx from NP 6005 at South University. - Title: Educational Objectives Last modified by. Prepare to administer carbonic anhydrase inhibitors IV or IM, to restrict production of aqueous humor. 1. Centers for Disease Control and Prevention. Management of a minority of patients, including those with renal impairment is difficult and often unsatisfactory, because of restricted treatment options. As the injury itself and required treatment often causes distress, pain and anxiety, appropriate management by nurses is essential in providing family centered care. Am Fam Physician. Gouty Arthritis Nursing Management. Emmerson BT. Based on data from the 2007-2008 National Health and Nutrition Examination Survey (NHANES), the prevalence of gout a… Excess dietary meat ... Gout. Gout in the elderly and drug-induced gout * Wu et al. Characterized by hyperuricemia (elevated plasmic uric acid concentrations) and severe, recurrent bouts of ... - Title: Slide 1 Author: amin Last modified by: Home Created Date: 5/12/2010 9:05:04 PM Document presentation format: On-screen Show (4:3) Company: Hewlett-Packard, Evaluation and Management of Acute Decompensated Heart Failure. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. 1999;59(7):1799–1806, 1810. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. According to the 2012 ACR guidelines, core therapy for management of gout and for hyperuricemia includes patient education about diet, lifestyle, treatment objectives, and management of comorbid conditions. Rheumatoid arthritisis classified as a diffuse connective tissue disease. Abstract. Prev Article Next Article . - ... time Drugs used to treat gout allopurinol probenecid febuxostat? Professor of Clinical Medicine UCSF Division of Rheumatology, SFGH Gout and its place in world history Henry VIII King of England 1509-1547 Benjamin Franklin co-drafted Declaration of Independence 1776 David Wells 15th perfect game in Major League history 1998 2000 1800 1600 1500 James Gillray: 18th Century “Persons affected with the gout … 3. Gout is a form of inflammatory arthritis characterized by acute intermittent episodes of synovitis presenting with joint swelling and pain (referred to as acute gouty arthritis) that may progress to a chronic intermittent condition, further to the development of tophi (solid deposits of monosodium urate [MSU] crystals in joints, cartilage, and bones), a condition called chronic tophaceous gout. Spread them throughout a gout attack occurs) was more likely to nursing management of gout work as long as they are purines retain sufficiently hydrated and cause less friction between gout shown to be ingested it can take vitamins herbs and seafood some of the muscles around joints. It was felt within my practice that guidance was not being followed in relation to the management of patients with gout. 2013 ESH/ESC Guidelines for the management of arterial hypertension. Additional reading. Non Drug Therapy in Gout Diet Issues Drugs for Acute Gout Drugs for Acute Gout Drugs to Prevent Gout and ... - High Uric Acid may be gout? Or use it to upload your own PowerPoint slides so you can share them with your teachers, class, students, bosses, employees, customers, potential investors or the world. - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. Identify the basic cause of and risk factors for gout. Hx of urolithiasis. Three skills •Intellectual skill, •Human skill , •Technical Skill. The clinical features of gout occur in response to monosodium urate (MSU) crystals. You can change your ad preferences anytime. Many of them are also animated. Abstract: Gout is a disorder of purine metabolism that primarily occurs in adult males. Impaired skin integrity r / t tophi. Discuss and prepare the client for surgical or laser peripheral iridectomy … First-line pharmacological ULT in gout is XOI therapy with either allopurinol or febuxostat to achieve a target serum urate level of less than 6 mg/dL, and often less than 5 mg/dL. Gout diagnosis and management: What NPs need to know. 1. Presentation Summary : 2012 ACR Gout GuidelinesIndications for Pharmacologic Urate-Lowering Therapy. Gout is an inflammatory reaction to monosodium urate crystals. Learning Objectives: After reading the preceding article and taking the following test, you should be able to: 1. The PowerPoint PPT presentation: "Management of Acute Gout" is the property of its rightful owner. gout.ppt - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. They are all artistically enhanced with visually stunning color, shadow and lighting effects. ward sisters ,Tutors ,lecturers 6. Benign prostatic hyperplasia (BPH)is the enlargement, or hypertrophy, of the prostate gland. For example, a telephone-based gout management programme provided by trained pharmacists (with support from a rheumatologist if required) improved the use of ULT in a single-arm observational study, with 82% of participants attaining sUA <360 µmol/l in the short term . The management of gout. However, these patients can be advised on lifestyle changes such as changes in diet, reduction in alcohol intake, and exercise, which may lower uric acid levels. 2. Dental Management of Patients with Rheumatology Disorders, - Title: PowerPoint Presentation Last modified by: up Created Date: 1/1/1601 12:00:00 AM Document presentation format: Other titles. - Chapter 45 Management of Patients with Urinary Disorders * * * * * Dehydration and immobilization causes urinary concentration and pooling of calculus forming ... A New Molecule for Post Operative Pain Management. - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. It is the only chronic form of arthritis that is curable if appropriately treated. - Title: Educational Objectives Last modified by: FERNE Document presentation format: 35mm Slides Other titles: Times New Roman Arial Verdana Wingdings Tahoma Default ... Management of Rheumatoid arthritis, Osteoarthritis. Diagnosis and management of gout. For 70% of sufferers a joint in the big ... - Chronic Gout Tx. Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. GOUT. 7. The Nursing Perspective. Recommendation 37: The rheumatology nurse can provide the patient with a gout-specific education program, defined as a set of structured activities aimed at increasing the level of knowledge about the experience of being a patient with gout and promoting healthy lifestyles (LE 5; GR D). It is caused by a buildup of uric acid crystals in the joints. Call on 469-805-4561 to book a telehealth appointment. Gout and diet This sheet has been written for people with gout. - Difficult gout. Knowledge Deficit: about treatment and care at home. These drugs have known anti-inflammatory activity and have been shown to reduce paininmanyconditions.Further,theyhavebeensuc-cessfully used to prevent gout flares during urate- - Gout. Gouty arthritis is a metabolic disease marked by urate crystal deposits in the joints throughout the body, causing local irritation and inflammatory responses. Even non-specialists should be able to diagnose and treat most patients provided some important principles are appreciated. It provides general information about the link between diet and gout, and where to go for further information and advice. 2012 American College of Rheumatology guidelines for management of gout. See our User Agreement and Privacy Policy. Benign prostatic hyperplasia (BPH) is one of the most common diseases in aging men. By two hydroxylation reactions, xanthine oxidase transforms hypoxanthine via xanthine to uric acid. Patient Education Plan. New guidelines* for the management of gout – a condition affecting almost 4% of adults or about 8.3 million people in the United States [1] – have been published in the October 2012 issue of Arthritis Care & Research [2,3].Developed by a task force of physicians and researchers, the guidelines are based on extensive review of the available literature and expert opinion in the field. Pain Management in the Emergency Department. That's all free as well! How is gout affected by diet? Nursing Management. If you continue browsing the site, you agree to the use of cookies on this website. - A New Molecule for Post Operative Pain Management Dr.P.Selvakumar M.D., Senior consultant Apollo Specialty Hospitals Madurai * Paracetamol i.v. Now customize the name of a clipboard to store your clips. An elevated serum urate level, together with local factors, can result in the deposition of urate crystals into the joints. Pain Management - Title: Nursing Care of the Client with Cancer Author: kmasket Last modified by: Created Date: 11/19/2004 6:06:07 PM Document presentation format | PowerPoint PPT presentation | free to view . - Case 77: Gout Presented by Nicole Valdez What is Gout? Gout is a general term for a variety of conditions caused by a buildup of uric acid.This buildup usually affects your feet. A number of pathophysiological checkpoints are required for development of gout. also found that elderly patients with a diagnosis of gout have higher all-cause healthcare ... Nutritional Management of Diverticulitis with Abscess, - Nutritional Management of Diverticulitis with Abscess & Colon Resection Jessica Lacontora ARAMARK Dietetic Internship Southern Ocean Medical Center. INTRODUCTIONTo better understand gout, it helps to understand the anatomy of the joints A joint is a union between two Have cartilage bones. Low urinary pH. Whether your application is business, how-to, education, medicine, school, church, sales, marketing, online training or just for fun, PowerShow.com is a great resource. [29] The exception to this is in an oncologic setting, in which patients receiving cytolytic treatment may receive p… It causes the inflammation of the joints and often starts in the feet or toes. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The management of gout in the primary care setting is often suboptimal[1]. High ESR, arthritis exacerbation?? List the characteristics of acute gout. Gout is the most easily diagnosed, yet the most undertreated of the arthropathies. NATURE OF MANAGEMENT • Management as a science & an art • Managemen as a profession. It's FREE! It is characterized by diffuse inflammation and degeneration in the connective tissues. Pittman JR, Bross MH. Incomplete emptying of the bladder and urinary retention leading to urinary stasis may result in hydronephrosis, hydroureter, and urinary tract infections (U… di 9:59 AM. Do you have PowerPoint slides to share? Gout is one of the best understood among the rheumatological disorders and one of the most satisfying to treat. 2. Provide information regarding management of glaucoma Discuss preoperative and postoperative teaching for immediate surgical opening of the eye chamber. Rheumatoid arthritis (RA) is an autoimmune diseaseof unknown origin. 2016 ACP GuidelinesRecommendations on the Management of Gout . Gout Management Medscape PPT. Yu TF, Gutman AB. Pharmacologic treatment for asymptomatic hyperuricemia carries some risk, is not considered beneficial or cost-effective, and generally is not recommended. is a fast-acting ... - Gout and comorbidities * Insulin resistance is a condition in which insulin binds well to its cell receptor, but intracellular signalling is inadequate. Patients with acute gout miss 3-5 days of work annually. 3. High-quality evidence from 1 RCT (38) and ob-servational data showed that nonsteroidal anti-inflammatory drugs (NSAIDs) reduce pain in patients with acute gout. Even though no crystals could still be gout or psuedogout all though unlikely ... Investigation and Management of the Febrile Surgical Patient. Looks like you’ve clipped this slide to already. Elevated plasma uric acid concentrations (hyperuricemia) cause deposits of urate crystals in joint spaces causing severe, repeated attacks of arthritis. Gout. N Engl J Med. The prostate gland enlarges, extending upward into the bladderand obstructing the outflow of urine. - European Society of Hypertension European Society of Cardiology Journal of Hypertension 2013;31:1281-1357 Powered by Medical Education & Information for all Media ... - Drug Therapy of Gout Gout - urate-lowering therapy prevents arthritis, tophi & stones by lowering total body pool of uric acid not indicated after first attack ... - Gout Gouty Arthritis By Mike Parenteau Etiology/Pathophysiology Gout is a metabolic disease resulting from an accumulation of uric acid in the blood It is an acute ... - Title: Nursing Care of the Client with Cancer Author: kmasket Last modified by: Created Date: 11/19/2004 6:06:07 PM Document presentation format. Pain management in the ED: Review of Available Therapies. 20. Children have a high risk of sustaining a burn injury due to their physiological, psychological, and developmental differences. And, best of all, most of its cool features are free and easy to use. Clipping is a handy way to collect important slides you want to go back to later. ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 21ef3-NTk2Y It is classified as a diffuse connective tissue diseaseand is chronic in nature. Acute pain r / t presence of inflammation in the joints. RTA. Pharmacological Management of Gout and Nursing Implications By Isabel A. Butler Week 7 Presentation Pharamacology Gout … URIC ACID PRODUCTION Uric acid is formed by breakdown of purines from nucleic acids. This sheet does not provide specific advice for people with other medical conditions or food intolerances. - Gout is a common and complicated form of arthritis which could affect anyone. Nursing Care Plan for Gout : Nursing Diagnosis . | PowerPoint PPT presentation | free to view, - Title: Urate Metabolism Author: Bernadette Wilks Last modified by: peter malycha Created Date: 7/30/2011 12:14:26 AM Document presentation format. No public clipboards found for this slide. Treat-to-Target The impact of these injuries on children and families is often long lasting. If so, share your PPT presentation slides online with PowerShow.com. 1. Boasting an impressive range of designs, they will support your presentations with inspiring background photos or videos that support your themes, set the right mood, enhance your credibility and inspire your audiences. CrystalGraphics 3D Character Slides for PowerPoint, - CrystalGraphics 3D Character Slides for PowerPoint. Malignancy. Diagnosis and Management of Gout - 56yo postmenopausal female with sudden onset of acute pain in her right toe and knee. Allopurinol for hyperuricemia ... Nucleotide metabolism Part 1 purine biosynthesis. Prolonged immobilization. These acute flares resol … Primary hyperparathyroidism. GOUT 2. steroids NSAID s colchicine Acute Arthritis Drugs Urate Lowering Drugs For chronic cases ... - GOUT GOUT Gout is a painful rheumatic disease. Accessed on Dec. 15, 2016.. Khanna D, Fitzgerald JD, Khanna PP, Bae S, Singh MK, Neogi T, et al; American College of Rheumatology. Impaired physical mobility r / t presence of joint pain. Document presentation format: 35mm Slides Other titles: Times New Roman Arial Symbol Default Design Pain management in ... Management of Patients with Urinary Disorders. Burn injuries have a significant impact on paediatric patients and may affect a range of body systems. See our Privacy Policy and User Agreement for details. Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. And they’re ready for you to use in your PowerPoint presentations the moment you need them. General Purpose: To provide NPs with updated information about gout. Criteria for Urate Lowering Therapy (ULT): Presence of tophi 2 acute attacks per year (some tx after 1 flare) CKD stage 2-5. Definition. gout. Pharmacist-led tele-care of gout also resulted in better sUA control compared with usual care provided by primary … presentations for free. Treatment. NURSING CLIENT WITH MUCOSKELETAL AND AUTOIMMUNE DISORDER AND GERONTOLOGY NURSING. 1996;334:445–51. 24. 1 Its process is well understood and has had efficacious treatment options for at least the last 50 years. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. 8. Gout 1. Principal of college, Nursing superintendent • First Management or operating Management level-More technical skills are required eg. Part 1: systematic nonpharmacologic and pharmacologic therapeutic approaches to hypeuricemia. Once crystals are deposited into a joint, they can be released into the joint space and initiate an inflammatory cascade causing acute gouty arthritis. Joint The joint allows the ends of the Have a synovial fluid bones to mov Most patients with asymptomatic hyperuricemia never develop gout or stones. Or use it to create really cool photo slideshows - with 2D and 3D transitions, animation, and your choice of music - that you can share with your Facebook friends or Google+ circles. Management of Gout: 2017 Jonathan Graf, M.D. If you continue browsing the site, you agree to the use of cookies on this website. First, elevated urate concentrations are required: urate overproduction and underexcretion contribute to total urate balance. NURSING CLIENT WITH MUCOSKELETAL AND AUTOIMMUNE DISORDER AND GERONTOLOGY NURSING. Prepare to administer osmotic agents. 2. In the human body, urate is constantly near its limit of solubility, in a flux balance between production and elimination.
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