0
Q
SLE
-Human Leukocyte Antigen
A
- Certain HLA genes are seen more frequently in people with SLE
1
Q
SLE
A
- Chronic, inflammatory, connective tissue disease of UNKNOWN origin that affects almost all body systems
2
Q
SLE
-Risk Factors
A
- Women of childbearing age
- Women to men ratio of 9:1 - More common in: African Americans, Hispanics, and Asians than whites
- Procainamide, hydralazine, INH
3
Q
SLE
-3 Classifications
A
- Systemic Lupus
- Drug-induced Lupus
- Discoid Lupus
4
Q
Systemic Lupus
A
- Involves one or more of the following systems:
- Cardiovascular, CNS, hematological, kidneys, lungs, and musculoskeletal
5
Q
Drug Induced Lupus
A
- Associated w/ some:
- Antineoplastic drugs, INH, Hydralazine, Procainamide
6
Q
Discoid Lupus
A
- lupus that is limited to the skin
7
Q
SLE
-Early Manifestations
A
- Early manifestations of SLE mimic those of RA
- Systemic manifestations of: - Fever, loss of appetite, malaise, weight loss, musculoskeletal manifestations
8
Q
SLE
-Skin Manifestations
A
- Most people affected by SLE have skin manifestations at some point during disease
- Red butterfly rash across the cheeks and bridge of the nose
- Photosensitivity
- Clients get a diffuse, maculopapular rash on skin exposed to the sun - Alopecia is common in SLE clients
9
Q
SLE
-Diagnostic Testing
A
- Anti-DNA antibody testing (specific to SLE)
- ESR
- Serum Compliment Levels
- CBC
- Urinalysis
10
Q
SLE
-Priority Nursing
A
- Teach Pt to avoid the sun 100% of the time
- Skin integrity is the most important priority with SLE
- Early Stage = TEACHING
- Later Stage = Manage Symptoms
11
Q
SLE
-Nursing Implementation
A
- Promote Skin Integrity
- Prevent infection
- Maintain fluid balance
- Promote adequate Nutrition
- Promote rest and comfort
- Manage S/E of medications
- Provide emotional support
- Avoid triggers for disease
- Ineffective Protection
12
Q
SLE
-Leading Cause of Death
A
- Infection
13
Q
SLE
-Diet Alterations
A
- If there is no dietary plan the patient’s diet will be changed when the KIDNEY’S are involved (RENAL DIET)
14
Q
SLE
-Health Maintenance for Young adults
A
- Depression questions
15
Q
Best Birth Control for PT w/ SLE
A
- IUD - Intrauterine device
16
Q
SLE
-Aspirin Benefits
A
- Aspirin is particularly beneficial for clients with SLE because its ANTIPLATELET effects help to prevent thrombosis
17
Q
SLE
-Stress
A
- Exacerbations of SLE have been linked to STRESS
- Teach stress reducing techniques:
- Guided imagery, yoga, massage, aroma therapy
18
Q
SLE
-Nursing Process Plan Goals
A
- Assist clients to manage and cope with chronic disease
- Prevent infection
- Promote nutrition
- Facilitate a remission
- Recognize and avoid triggers for flares
Nursing IV: Test 3
flashcards
Decks in class (7)
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