Question

the nurse is caring for a client with a new onset of gout. what medication does the nurse anticipate will be ordered by the health care provider?

Answer 1

The nurse does not anticipate that the physician will order Allopurinol.

What is the first line of defense against gout?

Nonsteroidal anti-inflammatory medications or corticosteroids, depending on comorbidities, are first- or second-line treatments for acute gout, respectively. Modifiable risk factors should be addressed after the initial gout attack, such as a high-purine diet, alcohol usage, obesity, and diuretic medication.

What medical intervention is recommended for a severe gout attack?

Colchicine, corticosteroids, and nonsteroidal anti-inflammatory medicines (NSAID) are the first-choice medications for acute gouty arthritis. The ideal uric acid value is 6 mg/dL, and treatment with xanthine oxidase inhibitors (XOI) or uricosuric medications is recommended for patients with a recurring or severe course.

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