Advanced Pathophysiology for the Advanced Nurse Practitioner
John Chovan, PhD DNP RN APRN-CNP APRN-CNS
Gout, Arthritis, Rheumatology, Uric Acid, Inflammation, Gouty
Medicine and Health Sciences | Nursing
Gout is an arthritic condition that can lead to destruction of the affected joints. Often the main complaint is severe pain of the big toe but could affect other joints. Due to the frequency of this condition, the family nurse practitioner (FNP) could easily encounter it in family practice. What causes the joint destruction is the deposit monosodium urate crystals (MSU) along a joint due to hyperuricemia. Not only can gout cause permanent joint damage, it also increases the risk for kidney damage. Treatment will be aimed at managing acute attacks and lowering serum uric acid (SUA) levels. Controlling modifiable risk factors is critical to long-term management. Diet can significantly influence the development of hyperuricemia. Foods that contribute to increased SUA include alcohol and processed meats. This poster will inform the FNP of the pathophysiology of gouty arthritis, signs and symptoms, and implications for nursing care. A case study is included within the discussion to assist with real-world application.
Dutt, Erin, "Gouty Arthritis" (2019). Nursing Student Class Projects (Formerly MSN). 339.