SLE

Question 1

SLE

Answer 1

chronic inflammatory autoimmune disease that affects multiple body systems

Question 2

premature causes of death associated w SLE

Answer 2

-active disease
-organ failure
-infection
-cardiovascular disease from accelerated atherlosclerosis

Question 3

s/s

Answer 3

caused by trapping of antibody/antigen complexes in capillaries & visceral structures, & autoantibody-mediated destruction of host cells
-fatigue
-muscle/joint pain
-butterfly rash
-hair loss
-fever
-mouth sores
-proteinuria

Question 4

risk factors

Answer 4

-woc between 15-44 are @ highest risk of lupus
-african americans, hispanics/latinos, asian americans, & native populations @ higher risk
-uv light
-smoking
-epstein-barr virus
-occupational exposure to silica
-genetic predisposition

Question 5

85% of patients w SLE are;

Answer 5

women

Question 6

drugs that may cause exacerbations

Answer 6

-sulfanamides
-PCN
-hydralazine
-OCP’s

Question 7

pregnancy & newborns

Answer 7

-includes periods of flares & remission, more common in pregnancy
-increased risk of fetal loss
-newborn risk of arrythmias

Question 8

subjective nursing assessment

Answer 8

-fatigue, myalgias, flu like symptoms
-dyspnea, hemoptysis
-headaches, neuropathies
-photophobia, abdominal pain
-raynauds phenomenon in ab 20% of cases

Question 9

objective nursing assessment

Answer 9

-butterfly rash on cheeks
-pericardial friction rub, cardiac arrythmias
-edema