Gout Attack Symptoms, Treatment, Diet, Pharmacology Nursing Lecture for NCLEX Explained
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- เผยแพร่เมื่อ 15 มิ.ย. 2024
- Gout attack (acute or chronic) nursing lecture on the symptoms, treatment, diet, and pharmacology review for the NCLEX exam.
Gout is a type of arthritis due to the accumulation of uric acid in the blood. Symptoms of gout are due to uric acid crystals that form within the joint that leads to severe pain, redness, and limited mobility.
Acute gout attacks happen suddenly (often waking the patient in the middle of the night) and tends to affect the big toe (knee, elbow, fingers, toe can also be affected). The affected joint will present with swelling, inflammation, and severe pain. The site will also be warm to the touch, and the patient will be unable to tolerate even the slightest pressure on the site.
Chronic gout is due to constant elevated uric acid levels that leads to repeated acute gout attacks. In chronic gout, tophi tend to develop. Tophi are large masses of uric acid crystals that have formed into large clumps. They are white/yellowish nodules that can found under the skin (helix of the ear, fingers, elbow etc.), within the joints, or bones. Tophi can lead to bone deformity and joint damage.
Patients with gout are educated to follow a diet that is low in purines, alcohol, and high fructose corn syrup drinks. Food high in purines include seafood, organ meats, red meat, and alcohol (especially beer).
Nursing interventions for gout include: keeping the patient hydrated with 2-3 liter of fluid per day (prevent renal stones and keep uric acid level low), monitor joint's status of redness and swelling, cold/warm compresses as tolerated, administering anti-gout medications.
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RegisteredNurseRN do you have one on gallbladder problems?
Hi there! Please could you make a video on PCOS polycystic ovary syndrome? Thank you!!!
Hello :) I will definitely cover this in the future. Thank you for the suggestion and for watching my videos :)
Hello :) I plan on covering this in the future. So, stay tuned. Here are all my current GI reviews: th-cam.com/play/PLQrdx7rRsKfVVQ5TeRY7Vy1Tq3pcGTDFO.html
i really like your videos keep it up!! Grt job
TIP from a fellow Gout sufferer. Treat gout as a food allergy. Keep a diary of the things you eat and identify your triggers. I found mine to be ''wholemeal products'' such as wholemeal bread/biscuits/cookies/pasta and meat products that use bread crumbs as a filler. (burgers and sausages). I eliminated these from my diet and have been pain free for over two years. I am no expert, just a fellow sufferer and this worked for me. Stay safe and well people.
It's an inflammatory condition, do your advice is sound.
Basically sugar and carbs! Found the same too and didn’t have much to do with purines.
What do you eat then? 😔
@@jdc7050 he’s stated what he doesn’t eat
Perfect advice
I had my first gout attack in early February. I had no idea what it was. Went to urgent care where they diagnosed a "classic" case of gout. They prescribed pregnazone (sp?) and an antibiotic. Limped into the local CVS to pick up my prescription and then went to my PCP. She wasn't so sure it was gout, but it flared up again about two days ago. I think it's gout.
In any case, I like that you give straight up information without trying to sell me any dubious supplements like many others do. We need more of what you're doing. Keep up the good work. It's a genuine public service.
Do you have gout in the joint of your big toe?
Thank you, Sarah, for these wonderful videos. I'm an internationally educated nurse in Canada. After watching ALL of your videos, I became confident. I passed my NCLEX RN exam on my first attempt. I owe my success in part to your excellent videos. You are awesome!
ANOTHER OUTSTANDING VIDEO. SARAH IS ABSOLUTELY AMAZING AND WE GREATLY APPRECIATE ALL SHE DOES.
I am a seasoned nurse , and I find these videos extremely helpful on topics I am not as comfortable with.
Thank you so much for the really kind comment. I'm so honored to help a fellow nurse. Thank you for watching the videos!
Two cans of black cherries fixed my painful toe gout in just a couple days! Worth of try - quick and cheap - good luck!
Ye more cherry pie home made
This was more helpful than the 4 doctor visits I've had over the last month as I've been dealing with this Gout attack for over a month now!
Do you have gout in the joint of your big toe?
Thank You for getting to the point. Being at home(Retired) during the Covid lock down I did drink beer and realized I drank more then usual. I'm a very hyper person and not overweight at 68 165-7 pounds and stay busy in a workshop. I realized I had gout in my big toe a few days ago (thought I hit it on something), watching your video I can do something about it.
This is the best video I have ever seen for Gout. Thank you. I now get the whole picture.
Gout in the ankle is by far the worst pain i have had with my history with gout. I’m taking Allopurinol, naproxen sodium and even colchicine (twice daily) and it’s been going on for over one week!! In this time- I have not had any sugars, cokes, frozen foods, anything purine rich and with pork, red meats, fish, etc. I hope their is better medicines eventually because one week of this pain is excruciating 😖
I have been getting gout for around ten years, it started in my big toe and now travels all over my feet. My doctor told me recently that I was pre renal disease and my uric acid levels were high so I started dieting. I didn’t eat any sugar or fats and I’m a vegetarian. That diet turned into the longest bout of Gout I have ever had. I honestly don’t think there is anything you can take or do to stop it, I still get gout regardless of my diet.
Hi. I had my worst gout attacks every time I went vegetarian for Lent. Mangos and peaches , I find, give me instant attacks.
Wow! You are an amazing instructor, GOD BLESS YOU!
Best imformative gout video I've come across. I'm 28 years old and got my first attack. It's been 3 days now☠🤕☠
I really really enjoy watching this. Thank you so much.
Thank you, it had been ten years since a severe gout attack and I got sloppy over Thanksgiving and have eaten and drank too many sugary drinks and foods and three nights ago I got woken by a flare up and an suffering since,,, lesson learned must stay on top of this everyday,,, omg the pain
Jimmy may i ask if you gave up meat on your diet?
You are the best! You are literally getting me through nursing girl!!!
Yeahh u can do it !!
Very educational. So informative. Thank you very much.
Your videos are amazing, easy to understand and very educational. Thank you.
There us nothing else that I can say but Thank You :) I've been to a review class and paid a lot of money. Classses were not as concise and clear as yours. I should've discovered this channel earlier :)
I'm honestly not even sure that I have the words to thank you for sharing this knowledge. I had a terrible gout attack while I was stationed in Alaska a few years ago but the Army and Air Force doctors didn't have a clue. Now, I realize that it was due to my game meat and alcohol consumption. I felt the same sharp pain, in my throat but it felt like glass, rather than sand. I started piecing things together after finding out that I have it in my family. Hopefully, I pass the quiz. Changing my diet now. . . Moving forward I can only assume that my lack of a proper diagnosis after all this time, is partially due to race. Tophi is definitely a new term for me but I've had those, as well. Smh
Thanks from the bottom of my heart. You are a life safer. Your explanation makes my tests easier for me. ❤😘😘
You're most welcome! I thank you from the bottom of my heart for watching my videos. I'm so glad they help you out!
RegisteredNurseRN you are welcome too 😍
"So it's super painful, and then it's going to get worse in pain". Tell me about it.
I had this gout attack yesterday evening, and had to take a pain killer at 2 Am as I could not sleep. I was searching for some good info. Thank you so much.
Wow.. this is awesome presentation.. I can say this is best informative video in TH-cam about Gout, even doctor couldn't provide all the details.. Great job
Thank you, thank you, very well explained, I will watch it again a couple more times so it sinks in. I thought I was eating healthy, lots of seafood. I really must lose a few pounds because the pain is unbearable, the last time I had pain like this was from shingles. I have now subscribed.so once again a huge thank you.
100 percent change your diet! I Love this video.
I LOVE watching Sarah's videos! They really help me get a better understanding of the content no that all my nursing classes are online due to the virus! I'm able to piece everything together! Also, I had no idea that "sweet bread" was an organ meat! It literally took me for a spin! Ive heard it mentioned before and thought wow that is weird they are putting bread with meats lol! Makes much more since now!
This was so helpful!! Thankyou always for your videos.
Amazing this videos is really really helpful,
i always watch every videos u have thanks alot,
i learn alot im ready to take my semester for my nursing pharmacology course
Advice from a gout sufferer: treat the disease like diabetes. Cut the sugar, especially high fructose corn syrup as well as carbohydrates like bread, fruit, corn and rice. Berries are OK. Meat or seafood does not cause it for me. A glass or two of red wine every couple of nights when there are no symptoms also helps along with morning coffee. I eat high fat diets to keep away hunger and reduce insulin. I call it type 3 diabetes.
Appreciate you doc you're easy on the eyes and you inform me of things I had no clue of really appreciate you and no matter where you are alive I hope it always finds you in good spirits and I want to wish you and your family health happiness and prosperity Thank you sweetheart
I love watching your videos. You make topics that seem so complex much easier to understand. Thank you for taking the time to help us future nurses 😊
I ♥️ RegisteredNurseRN. 😍 Had it twice. 🍋 water, celery and cherry 🍒 juice w/o sugar. Little meat, mostly veggies, no alcohol. Exercise.
What americaaan caaan do this loll goodluck yall
Thank you for all the videos & quizzes. God bless you
Thank you very much for your elaborated briefing.
All of a sudden I had unbearable pain in feet and ankles.
Being an athletic and aged 62 I thought it relates to joint pain.
My intake of water is less and being a diabetic uric acid segregation is more and prescribed Allopurinol.
After taking tablet severe pain relieved.
I have changed my food habit and taking pure vegetarian food and plenty of liquids.
Your message will be beneficial to more GAUT s
Beautifully presented with worthy content .
Thank you for explaining different things on gout ,lupus , fibromyalgia and RA
I have answers on my blood work and in my history however I can’t find a good PCP or rheumatologist in my area. So many doctors have quit and moved on leaving people to fend for themselves.
Keep doing what you do best, thanks again.
Can you be my teacher forever? I have been going on a rampage the last few days as soon as I discovered your channel, and I am in love! Your videos are super helpful to really cement down concepts after reading them in textbooks. If you get a chance in your busy schedule, would you mind doing some videos on neurological and neurosensory system :D
Thank you so much for the kind comments. I'm so happy found me and like the videos. I do plan on covering the neuro system very soon....once I'm done with some other videos. So, always stay tuned :) Thank you again for the kind comment!
Awesome! Awesome! Awesome! Awesome! Thank you! I don't get enough!
Aww, thank you so much, Tatiana :) Always come back every week for new videos to get your quick fix on my videos hehe! Thank you again!
Sincerely speaking you are my inspiration for everything. I have learnt a lot from you and soon I we see you in person. thanks so much for the insight.
Thank you so much this is helping my wife and family understand how n why i hurt so much when i have regular gout attacks. Thank you n God bless you
You are bless for nursing students.
This is such amazing valuable information. I really appreciate this in-depth knowledge. Blessings.
When I was 29 years old one morning I woke up with excruciating pain in my big toe. I honestly thought I had broken my toe. And the doctors thought I had broken my toe the way I was limping and in so much pain they did an x-ray and turned out it was gout ! I said I'm not a medical expert I've never heard of gout before. The doctor said it was quite rare for somebody my age to get it that's why they had thought I had also broken my toe. I'm now 34 and I get gout attacks once or twice a year. A lot of people don't understand how painful and attack is and they think you're just playing it up so you can get time off work. I have actually broken a bone and I would say my gout attacks are twice as painful! Thank you for your informative video
lose weight, change diet and lifestyle. Completely.
Do you have gout in the joint of your big toe?
i wish that all of the nursing professors are just like you!
Gout, I have had a few times, even in my knees and shoulders. I took Tart Cherrie extract 4 times a day for 3 days and the Gout all left. This is an old remedy and worked well for me. Drinking Coffee also helps.
Only just discovered your video's. Thank you for the down to earth articulate treatment of subject of great concern to myself and your work on Osteoarthritis..
GREAT VIDEO. I have chronic gout but Colchicine is my savior
The best teaching ever. Thank you. I'm a vegan and I still have problems in my joints. For me np meds just food to heal. You are an angel. ❤
You are the best, you are getting my classmates and I through our program! KEEP IT UP!
Thanks for being so honest and real. Excellent video!
My doctor prescribed allopurinol for attacks. The meds provide minimal relief. I changed my diet to eliminate meats (organic chicken) down to twice weekly. I still have be careful with my diet and avoid trigger foods. Thanks for the video.
Allopurinol never worked for me either. Even with copious amounts of water. Ibuprofen was also useless as a pain killer. My Doctor put me on Colchicene and this was the winner. I am gout free now, after suffering for many years. I take 2 colchicene pills now per day, one in the morning and one at night and l drink lots of bottled water
The still variety. Take care.
VERY GOOD EXPLANATION THNK YOU
Excellent video, thank you so much!
Thank you. You explains it better than my doctor.
Thank you for the clear and precise info
Wawooo am now supper chrged with GOUT .. Love you Sara thanks . RN FROM UGANDA🇺🇬
You really helped me understand more about gout, I also noticed my eyes have really been bothering me,
But I haven’t had my glasses long, so I just figured it was just me. Thank again,👍😢
Thank you
I'm student in Alexandria faculty of medecine in Egypt
Your videos are really helpful to me
A lot of valuable information and Great explanation.
Thank you so much for all these details.
Very good presentation. Thank you.
BOTH NURSE AND GOUT PATIENT. ACCURATE INFO!
I whole heartedly thank you nurse Sarah. You can take care of me and my kids anytime . Can you do one on hiv, malnutrion, ppn and tpn, the immune system, incontinence ? And maybe some advanced med surge topics they normally cover in 4th semester. Oh and pysch nursing. Thanks in advance
I I thank u for this presentation because I happen get attacked by this pain on the joints..I thank you also for identifying 10 foods to eat in order escape from uric acid.
You explained it very well than my lecturer in review center which i paid lot. Thank you...💜
Yess,, nice explanation,, thank you ma’am.. godbless
My doc prescribed Colchicine and Indomethacin together, and they work like wonder drugs. I use them for acute attacks and the gout settles down in 2-3 days (it's an 8-day regimen). My triggers are shellfish (vs. seafood, I can safely eat most fish...eat one shrimp and I'm dead meat), too much pork, and too much meat in general.
Hope this helps my gout peeps! 😄
About 2 years ago my doctor ordered a blood survey on my behalf and the news was that I had gout, based on the blood test. I have been in pain every waking hour since then.
Sometimes the pain is `not good,` but most of the time it feels like I`m being crushed by a pressing machine.
Do, my fellows, whatever it is you have to do to avoid gout. By the way, I`m English and ergo don`t even have to worry about the cost of the numerous drugs I`m being prescribed in order to treat this work of the Devil.
Ps, I used to be an RGN.
I have absolutely no idea who the Nurse in this video is but have no doubt that she would be an asset to the Student Body over here - and to our patients.
Thank you for the great video! Very informative. I have a family history of gout and suffer several attacks yearly. I'm adjusting my diet and drinking more water to reduce those episodes or at least decrease the severity of those acute attacks. I found drinking tart cherry juice has helped immensely.
Do you have gout in the joint of your big toe?
I have been having gout attacks every now and then. Your presentation has really helped me understand the sickness more. Thank you.
Very interesting you are a great teacher. Thank you.
Dra. Thanks I have my idea
God bless you more.
Very informative video. Thanks you janet
Sarah I love your videos. I am in nursing school, I wish you would cover lupus,cancer,and shock I understand so much more when you post your videos please
Thank you so much for watching the videos. Yes, I hope to cover these topics in the future. Thank you for letting me know you would like to see them.covered. Here are all my current NCLEX lectures in a playlist so you can find them easier: th-cam.com/play/PLQrdx7rRsKfWwTsEG3KPPQx9rWa8AqMIk.html
Nice lessons sarah.... Am a student nurse from Kenya
Thank u mam....well understand gout😇
thank you Miss R.N.!
Thank you so much. Your explanation is very helpful. Cheers
Very well presented and very informative.
Good information. Thank You!
Very informative. Thank you.
You are very informative about gout, I’ve just started having these attacks, they are very painful. I have diabetes also, I really worry about the kidney, they’re already in bad shape. But I have been drinking a lot of soda,and sweets, I just crave them,really bad. Sense I have had to stay home for so long, I guess I’m depressed can hardly get around. I’ve gained weight, I don’t eat regular meals just something to make the stomach not hurt, like a few cookies. But I ate some imitation crab, put a little butter and garlic salt , warmed it up, so good. But my foot swelled like a balloon and so painful,really hurts across the top of foot, the swelling feels so tight, not even a feather can touch it., but I just had a goat attack last week,so I had no idea I was having another one, the only thing is the big toe is not hurting as bad as usual,the pain is across the top of my foot.it hurts so bad . My dr called a script,for colchicine , but only 3 tiny pills, the second day it was much better, I also take allopurinol which is to help. Thank you for giving much needed information on this, you were very helpful, God Bless, 😊💕
complete lifestyle change needed. Water, fruit, no sweets cookies, beer, light exercise. Pills wont help you. Youre beyond that.
For years I've enjoyed 1-2 beers per day and a nice bowl of ice cream at night. Now I'm watching videos about gout. #lifelessons
Every useful, thanks.
thanks very informative !
thanks you so much madame
Thanks a lot Sarah for your very valuable informatiave videos which are quite helpful
Great video. Thanks.
THANK YOU. Very good video and great information.
Thanks for sharing this video, very informative. Recovering as we speak.
Thank you Madam Sarah im from Malaysia. Nurse student its really help me
Thank you very much for the wonderful video, Sarah! Very useful information. There is no history of gout in my family. I'll be modifying my diet after viewing your video; I don't drink any form of alcohol, but I'll be drinking more water to eliminate those issues, or at the very least lower the severity of those acute bouts. One question for you: what sort of test should I ask a healthcare practitioner to prescribe to monitor my uric acid level if I go to see him?
Very interesting ! Thankyou.
Awesome video. Thanks for sharing your information on this gout ? A dirty , painful word. Thanks again
Thank you so much :)
That was a great video and very informative :)
Excellent presentation and very informative. Keep up the good work.
Great video!! The drawings, notes, and medications were well done! Accuracy is what is vital when delivering nursing info..and you do it with such finese! The material made for a good review..this was introduced in Level 1 (Fundamentals )..Aug 14th starts Level 2!! I am excited mixed with a little nervousness. .This is a challenging journey..to say the least! I feel just completing the nursing course should automatically grant the person a license! :-) a little nursing school humor! !
Thank you so much :) You got to have some humor to make it through it haha. I totally agree that nursing courses themselves should be good enough for a license lol! Best wishes on August 14th! Enjoy the rest of your break :)
Very informative video thanks a lot Ma'm...
Great ! Love your video !
Great video, thank you