Acute treatment
What non-pharm treatment can be considered?
Ice.
Educate patients to reduce alcohol consumption, reduce high purine diets, hydrate more, lose weight, smoking cessation, evaluate potential drugs, etc.
Does gout start in the upper body or the lower body.
The lower body
What are the first-line options for acute gout flare?
NSAIDS, Coricosteroids, and Colchicine.
Indomethacin, ibuprofen, and naproxen are commonly used NSAIDS for acute goat flares.
Combo therpay may be considered if multiple joints are affected or pain is severe.
What color is the outside of gout.
Red, purple, or pink.
Is low dose or high dose colchicine preferred and why?
Low dose due to similar efficacy and dose-dependent ADR (GI, neutropenia, myopathy).
Should be used within 24 hours.
What color is the inside of gout.
clear/nothing.
What options are available for NPO patients?
IV, IM, intra-articular corticosteroids is recommended.
Where does the gout start.
The liver.
True or False. Patient on established ULT should stop their therapy during an acute gout flare.
False. Patient should continue on therapy.
What substance does gout make.