SLE Flashcards

0
Q

SLE

-Human Leukocyte Antigen

A
  1. Certain HLA genes are seen more frequently in people with SLE
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1
Q

SLE

A
  1. Chronic, inflammatory, connective tissue disease of UNKNOWN origin that affects almost all body systems
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2
Q

SLE

-Risk Factors

A
  1. Women of childbearing age
    - Women to men ratio of 9:1
  2. More common in: African Americans, Hispanics, and Asians than whites
  3. Procainamide, hydralazine, INH
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3
Q

SLE

-3 Classifications

A
  1. Systemic Lupus
  2. Drug-induced Lupus
  3. Discoid Lupus
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4
Q

Systemic Lupus

A
  1. Involves one or more of the following systems:

- Cardiovascular, CNS, hematological, kidneys, lungs, and musculoskeletal

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5
Q

Drug Induced Lupus

A
  1. Associated w/ some:

- Antineoplastic drugs, INH, Hydralazine, Procainamide

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6
Q

Discoid Lupus

A
  1. lupus that is limited to the skin
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7
Q

SLE

-Early Manifestations

A
  1. Early manifestations of SLE mimic those of RA
    - Systemic manifestations of:
  2. Fever, loss of appetite, malaise, weight loss, musculoskeletal manifestations
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8
Q

SLE

-Skin Manifestations

A
  1. Most people affected by SLE have skin manifestations at some point during disease
  2. Red butterfly rash across the cheeks and bridge of the nose
  3. Photosensitivity
    - Clients get a diffuse, maculopapular rash on skin exposed to the sun
  4. Alopecia is common in SLE clients
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9
Q

SLE

-Diagnostic Testing

A
  1. Anti-DNA antibody testing (specific to SLE)
  2. ESR
  3. Serum Compliment Levels
  4. CBC
  5. Urinalysis
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10
Q

SLE

-Priority Nursing

A
  1. Teach Pt to avoid the sun 100% of the time
  2. Skin integrity is the most important priority with SLE
  3. Early Stage = TEACHING
  4. Later Stage = Manage Symptoms
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11
Q

SLE

-Nursing Implementation

A
  1. Promote Skin Integrity
  2. Prevent infection
  3. Maintain fluid balance
  4. Promote adequate Nutrition
  5. Promote rest and comfort
  6. Manage S/E of medications
  7. Provide emotional support
  8. Avoid triggers for disease
  9. Ineffective Protection
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12
Q

SLE

-Leading Cause of Death

A
  1. Infection
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13
Q

SLE

-Diet Alterations

A
  1. If there is no dietary plan the patient’s diet will be changed when the KIDNEY’S are involved (RENAL DIET)
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14
Q

SLE

-Health Maintenance for Young adults

A
  1. Depression questions
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15
Q

Best Birth Control for PT w/ SLE

A
  1. IUD - Intrauterine device
16
Q

SLE

-Aspirin Benefits

A
  1. Aspirin is particularly beneficial for clients with SLE because its ANTIPLATELET effects help to prevent thrombosis
17
Q

SLE

-Stress

A
  1. 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
  1. Assist clients to manage and cope with chronic disease
  2. Prevent infection
  3. Promote nutrition
  4. Facilitate a remission
  5. Recognize and avoid triggers for flares