Systemic Lupus Erythematosus

Question 1

What parts of the body are most commonly affected by lupus?

Answer 1

Lupus most commonly affects the skin, joints, and kidneys.

Lupus is characterized by episodes of exacerbation and remission.

**Lupus is most likely to be seen in teenagers (11 - 15 years of age).

Question 2

Common s/s of systemic lupus erythematosus…

Answer 2

-recurrent fevers
-fatigue
-weight loss

Question 3

For diagnosis of lupus, one must have a least four of the following s/s as well…

Answer 3

*arthritis with pain and swelling of two or more joints
*MALAR RASH (aka butterfly rash)
*renal disorder presenting with proteinuria
*neurological disorder presenting with seizures or psychosis
*hematologic disorder presenting with anemia, leukopenia, lymphocytopenia, or thrombocytopenia
*photosensitivity
*mouth or nose ulcers
*serositis - inflammation of a serous membrane such as the pericardium, peritoneum, or pleura
*positive antinuclear antibody - causing the body to attack its own immune system

Question 4

What might the doctor order to help determine a diagnosis for lupus?

Answer 4

To help diagnose lupus, a doc might order…
-CBC
-UA
-antinuclear antibody labs
-autoantibody labs

Question 5

What are supportive/non-pharmacological measures that can help treat s/s of lupus?

Answer 5

-avoid smoking
-maintain a healthy weight
-eat a healthy diet
-limit sun exposure

Nursing Interventions for Lupus:
-monitor vital signs and labs
-infection precautions
-**Tylenol should be given in limits due to risk for liver damage