Lupus

Question 1

what is lupus?

Answer 1

inflammatory immune response

Question 2

patho of lupus

Answer 2

The body mistakes part of the cell’s nucleus as a foreign antigen and begins to develop antibodies —> Antibodies destroy cells –> Antigen-antibody complexes get trapped and build up in capillaries and damage organs

Question 3

What does lupus most commonly affect?-7

Answer 3

skin, mucous membranes, musculoskeletal, renal, nervous, CV, and respiratory systems

Question 4

clinical man-16

Answer 4

• Fever, weight loss, malaise
• Rash, skin lesions, pigment changes
• Oral ulcers
• Joint swelling / pain
• Pericarditis, dysrhythmias, chest pain
• Nephritis
• Psychosis, cognitive impairment, neuropathy

Question 5

lab tests lupus-5

Answer 5

• antinuclear antibody (ANA) +
• anti-DNA (+)
• anti-ds DNA (+)
• anti-Sm (+)
• CBC (RBC, WBC, PLT) (low RBC, low plt, Elevated WBC in acute exacerbation, but generally they will be low) -Pt experience thrombocytopenia

Question 6

Patient is diagnosed with Lupus when 4 or more criteria are present: -11

Answer 6

• Malar rash
• Discoid rash
• Oral ulcers
• Nonerosive arthritis
• Pleuritis or pericarditis
• Photosensitivity
• Kidney disease
• Neurologic disease
• Hematologic disorder
• Immunologic disorder
• Positive ANA test

Question 7

medical goal

Answer 7

control symptoms of acute exacerbations and prevention of progressive loss of organ function

Question 8

Nursing management-6

Answer 8

 Assess for signs of infection
 Educate patients on importance of adhering to medication therapy
 Instruct patient to avoid sun exposure
 Dietary consult (Promote healthy, balanced diet)
 Smoking cessation (Lupus patients are at greater risk for lung cancer and hypertension)
 Educate patient on importance of regular health screenings