AANP Adult Gerontology Primary Care Nurse Practitioner Practice 2025 - Free Practice Questions and Study Guide

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What is the recommended approach to initiate chronic treatment in gout after an acute episode?

Immediately after the first acute flare

4 to 6 weeks after acute symptoms resolve

The recommended approach to initiate chronic treatment in gout is 4 to 6 weeks after acute symptoms resolve. This timing is important because starting chronic medications during an acute flare can exacerbate symptoms and lead to decreased patient compliance. During an acute episode, the focus should be on managing immediate pain and inflammation, typically using nonsteroidal anti-inflammatory drugs (NSAIDs) or colchicine.

Once the acute phase has subsided, waiting for about 4 to 6 weeks reduces the risk of flare-ups that can sometimes occur when initiating urate-lowering therapy. This allows the patient to stabilize and provides a clearer assessment of their baseline uric acid levels. Chronic treatment can then be initiated to help prevent future attacks and manage overall uric acid levels effectively. Thus, timing is crucial in the management of chronic gout to ensure better patient outcomes.

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Only during a second acute flare

At any time regardless of acute flares

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