SS Flashcards
1
Q
Hardening of skin
A
Scleroderma
2
Q
Uncommon but…
A
high mortality
3
Q
May involve
A
kidneys, lungs vessels
4
Q
limtes cutaneous SS
A
Crest syndrome
- Calcinosis
- Raynaulds phenomenon
- Espophgeal dysfunction (GERD)
- Sclerodactyly (thickening and tightening of skin)
- Telangiectasias ( dilation of capillaries)
5
Q
assessment
A
- joint pain
- joint stiffness
- Pitting edema of hands, fingers, forearms
- Edema may progress
- Shiny skin
- Taut/ no wrinkles
6
Q
Assessment
A
-tigtening of skin
- hardening of skin
- Thckening of skin
- Loss of elasticity
- loss of ROM
- Ulcerations
Joint contractures
7
Q
Organ involvement Digestive
A
- Esophageal dysmotility
- Dyspahgia
- Hiatal hernia
- Esophagitis
- Decreased Peristalsis
- Malabsorption/ Diarhhea
8
Q
Cardiovascular
A
Raynaud’s
- Digit necrosis autoamputation of distal digits
9
Q
Lung development
A
Pulmonary arterial HTN
10
Q
Diagnostics
A
- Similar to SLE
- meds can help
- clinical presentation
11
Q
Interventions for SS
A
- Drugs similar to SLE
- Nursing interventions: Ra interventions for joint/fatigue
- Bed Cradle
- -Foot board
- Room temp
- Gloves and socks
No cigarett smoke
- Reduce stress
- Swallow Study/safety
