Gout / Acne
What are some signs and symptoms of gout?
acute inflammation of one or more joints, affected joints appear cyanotic, swollen, very tender, and highly sensitive to touch
What food interactions does allopurinol have?
alcohol and caffeine
What is a chronic autoimmune disorder that commonly causes inflammation and tissue damage in joints
rheumatoid arthritis
What are the side effects of this drug?
bone marrow suppression
What are the most common areas affected by psoriasis?
nails, scalp, genitals, and lower back
What causes gout?
overproduction of uric acid, decreased uric acid excretion, or both
What are the contraindications of allopurinol?
known allergy to the drug, or kidney/liver disease
What are the signs and symptoms associated with rheumatoid arthritis?
pain and stiffness of joints, decreased ROM, morning stiffness, fatigue and sometimes weight loss
What is the method of action for methotrexate?
inhibits the movement of inflammatory cells into an inflamed, damaged area to prevent progression of rheumatoid arthritis
What can psoriasis flare-ups
changes in climate, infection, stress, excessive alcohol intake, or dry skin
staphylococcus species and propionibacterium species
What drug class is Allopurinol?
What are the pharmacological treatment options for RA?
DMARDS such as methotrexate
How often is this drug given?
once weekly
What is the most common subtype of psoriasis?
isplaque psoriasis which is classified as large, dry, erythemetaous scaling patches of the skin, that are white or silver on the top
What nursing education should be taught in patients with gout?
take colchicine or NSAIDS at first sign of flare-up, apply ice packs to inflamed joints, elevate and rest affected limb during acute attacks, maintain light physical activity between flares
What patient education needs to be done when taking allpurinol?
encourage patients increase fluid intake, avoid alcohol and caffeine, and inform them that allopurinol can cause dizziness and drowsinessn
physical or occupational therapy
What are the contraindications of methotrexate?
active bacterial infection, active herpes, active or latent tuberculosis, acute hepatitis B or C, or pregnancy and lactation
What is a skin condition in which areas of the skin become thick, reddened, and covered with silvery scales
psoriasis
What type of food should be avoided in patients with gout?
purine rich foods like red meat or shellfish
What is the method of action of allopurinol?
inhibits the enzyme xanthine oxidase from working properly. It converts oxypurines into uric acid. By decreasing uric acid levels, it can eliminate gout
What other issues can RA cause?
anemia, diffuse inflammation into the lungs, eyes, and pericardium of heart, and subcutaneous nodules
What is the black box warning for methotrexate?
cautious administration to those with renal disease, infection, pulmonary disease, and stomatitis
What does treatment of psoriasis begin with?
topical corticosteroid