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When monitoring a patient with gout which test would not be needed?
Question 2. When monitoring a patient with gout, which test would not be needed? Even though insulin resistance can result in reduced renal rate excretion which leads to hyperuricemia, it is not necessary to monitor glucose in these patients. A CBC can tell us whether the WBC is elevated.
What is the management of gout?
Pharmacologic management remains the mainstay of treatment. Acute attacks may be terminated with the use of nonsteroidal anti-inflammatory agents, colchicine or intra-articular injections of corticosteroids. Probenecid, sulfinpyrazone and allopurinol can be used to prevent recurrent attacks.
How do you monitor uric acid?
A uric acid test can be done as a blood test or a urine test. During a blood test, a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial.
What should I monitor while taking allopurinol?
Complete blood count, liver function tests, renal function, and serum uric acid levels shall be measured every 2 to 5 weeks while titrating the dose until achieving target serum uric acid level and every six months after that.
What is the gold standard for diagnosing gout?
Demonstrating the presence of monosodium urate (MSU) crystals in the joint fluid or tophus has been the gold standard for the diagnosis of gout.
What are differential diagnosis for gout?
Differential Diagnosis of Acute Gout
|Diagnosis||Joint distribution||Synovial fluid findings|
|Pseudogout (calcium pyrophosphate deposition disease)||Knee, wrist, or first metatarsophalangeal||Negative|
|Septic arthritis||Knee is most commonly involved (may be any joint distribution)||Positive|
What is the prevention of gout?
For gout in particular: Eat a healthy diet. Avoid foods that may trigger a gout flare, including foods high in purines (like a diet rich in red meat, organ meat, and seafood), and limit alcohol intake (particularly beer and hard liquor).
What is gout prophylaxis?
Prophylactic colchicine or NSAID is recommended, starting 2 weeks before allopurinol whenever possible, and continuing for 3–6 months to prevent such attacks. An alternative is to start allopurinol at 50–100 mg/day and increase by similar increments weekly until the target serum urate is reached.
What is the normal range of uric acid?
The reference ranges for uric acid in the blood are as follows : Adult male: 4.0-8.5 mg/dL or 0.24-0.51 mmol/L. Adult female: 2.7-7.3 mg/dL or 0.16-0.43 mmol/L. Elderly: A slight increase in values may occur.
How do you test for gout?
Tests to help diagnose gout may include:
- Joint fluid test. Your doctor may use a needle to draw fluid from your affected joint.
- Blood test. Your doctor may recommend a blood test to measure the levels of uric acid in your blood.
- X-ray imaging.
- Dual-energy computerized tomography (DECT).
Does allopurinol need monitoring?
Once allopurinol has been started, it is best to check urate levels and renal function every 2–4 weeks for the first 3 months. People with chronic renal impairment who also take allopurinol may be at increased risk of hypersensitivity reactions and other adverse reactions – see adverse reactions.
What should you assess before giving allopurinol?
Assess heart rate, ECG, and heart sounds, especially during exercise (See Appendices G, H). Report an abnormally slow heart rate (bradycardia) or symptoms of other arrhythmias such as including palpitations, chest discomfort, shortness of breath, fainting, and fatigue/weakness.