Gout Case Study (45 min)
Included In This Lesson
Study Tools For Gout Case Study (45 min)
Outline
Mr. Sampson is a 62-year-old male who presents to the Emergency Department (ED) complaining of severe right knee pain x 3 days. His gait is unsteady and he is limping and guarding that right leg. When the nurse walks in the room, he tells the nurse he has a history of Hepatitis C and HIV.
Upon further assessment, Mr. Sampson’s right knee is very swollen, reddened, and warm and tender to the touch. Mr. Sampson reports that his joints swell up like this all the time, and proceeds to show the nurse his hands, where she notes a swollen nodule on the left wrist, and two swollen nodules on the proximal knuckles of the right hand. The provider orders X-rays of the right knee and bilateral hands, as well as some basic laboratory tests, including an ESR and CRP. When the nurse goes to draw blood, she notes another swollen nodule over the patients left elbow that is shiny and has two white spots on it. She now knows that she needs to recommend one more test for the provider to order. The joint x-rays show crystal deposits around the swollen joints, and Mr. Sampson’s uric acid level is elevated significantly. When asked if he has a history of gout, Mr. Sampson replies “oh yeah, that, too.” He reports that he drinks wine daily. After 2 days of anti-inflammatory treatments and physical therapy assistance, Mr. Sampson’s joint swelling has decreased and he is able to walk easily without pain and will be discharged home today. The nurse is concerned that he may not understand what triggers his gout flare ups, considering how frequently he reports that they happen.
What initial nursing assessment should be performed at this time?
What are the possible diagnosis that should be explored for Mr. Sampson at this time?
What laboratory or diagnostic tests should be performed for Mr. Sampson?
What is the significance of the finding on the patient's elbow?
What other lab test should be added to confirm this diagnosis?
Explain what is going on with Mr. Sampson physiologically.
What medications do you anticipate the provider ordering for Mr. Sampson?
What discharge teaching should be included for Mr. Sampson to help him reduce the frequency of his flare-ups?
Katies NCLEX
Concepts Covered:
- Test Taking Strategies
- Medication Administration
- Adult
- Emergency Care of the Cardiac Patient
- Microbiology
- Anxiety Disorders
- Depressive Disorders
- Nervous System
- Gastrointestinal Disorders
- Fundamentals of Emergency Nursing
- Dosage Calculations
- Understanding Society
- Circulatory System
- Concepts of Pharmacology
- Studying
- Newborn Care
- Adulthood Growth and Development
- Respiratory Disorders
- Pregnancy Risks
- Neurological
- Postpartum Complications
- Substance Abuse Disorders
- Bipolar Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Tissues and Glands
- Factors Influencing Community Health
- Concepts of Population Health
- Community Health Overview
- Developmental Considerations
- Communication
- Legal and Ethical Issues
- Cardiovascular
- Emergency Care of the Neurological Patient
- Emergency Care of the Respiratory Patient
- Emergency Care of the Trauma Patient
- Delegation
- Multisystem
- Health & Stress
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Trauma-Stress Disorders
- Developmental Theories
- Concepts of Mental Health
- Gastrointestinal
- Newborn Complications
- Labor Complications
- Fetal Development
- Terminology
- Labor and Delivery
- Postpartum Care
- Prefixes
- Suffixes
- Proteins
- Statistics
- Med Term Basic
- Med Term Whole
- Cardiac Disorders
- Preoperative Nursing
- Intraoperative Nursing
- Vascular Disorders
- Noninfectious Respiratory Disorder
- Upper GI Disorders
- Central Nervous System Disorders – Brain
- Shock
- Immunological Disorders
- Postoperative Nursing
- Perioperative Nursing Roles
- Hematologic Disorders
- Disorders of Pancreas
- Neurological Trauma
- Neurological Emergencies
- Musculoskeletal Trauma
- EENT Disorders
- Peripheral Nervous System Disorders
- Respiratory Emergencies
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of the Thyroid & Parathyroid Glands
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Respiratory
- Acute & Chronic Renal Disorders
- Disorders of the Adrenal Gland
- Documentation and Communication
- Oncology Disorders
- Female Reproductive Disorders
- Cognitive Disorders
- Renal Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Integumentary Disorders
- Urinary Disorders
- Integumentary Disorders
- Musculoskeletal Disorders
- Disorders of Thermoregulation
- Basics of NCLEX
- Integumentary Important Points
- Urinary System
- Neurologic and Cognitive Disorders
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
- Respiratory System
- Infectious Disease Disorders
- EENT Disorders
- Eating Disorders
- Personality Disorders
- Psychological Emergencies
- Somatoform Disorders
- Prioritization
- Hematologic Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Endocrine and Metabolic Disorders
- Oncologic Disorders
- Behavior
- Emotions and Motivation
- Growth & Development
- Intelligence and Language
- Psychological Disorders
- State of Consciousness
- Basics of Sociology
- Note Taking
- Basics of Human Biology