Your patient has a history of gout. Which of the following statements indicates more education is necessary? Select all that apply.

 

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Correct

- "I can't wait to get home. My wife and I have our weekly wine and cheese night with my brother and his wife."

- "I need to make sure I get a refill of my Zylorim for my gout."

- "When I have a flare-up, I try to increase my activity to get the blood flowing better and hopefully have it resolve faster."

- "I try to limit my intake of water. I feel like that helps my symptoms."

- "Man, these Tophi are incredibly painful."

Rationale

Wine and cheese are high in purines, which worsen symptoms of gout. These, along with other foods high in purines, should be avoided. Zyloprim is an appropriate medication, and adequate fluid intake is also essential. The statement about Tophi is correct.

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