Systemic Lupus Erythematosus CAT Flashcards
1
Q
What is systemic lupus erythematosus (SLE)?
A
- Connective tissue disorder
- Destructive antibodies are directed at the individual’s own body
2
Q
Factors associated w/ SLE
A
- UV exposure, infection, antibiotics, stress, immunization, pregnancy
- 15-40 y/o
- Women > men
3
Q
Clinical presentation for SLE
A
- Arthralgias
- Malaise
- Fatigue
- Rash
- Weight loss
- Red butterfly rash across the cheeks and nose
- Alopecia
- Pleurisy
- Kidney involvement
- Seizures
- Depression
- Fibromyalgia
- Cardiac involvement
4
Q
Labs/imaging w/ SLE
A
- Microscopic fluorescent techniques detect antinuclear antibody (ANA) in blood
- AntiRNA antibody test
- Erythrocyte sedimentation rate
5
Q
Skeletal presentation w/ SLE
A
- Ulnar deviation
- Subluxed IP joints
6
Q
Medical management of SLE
A
- Autoimmune reversal
- Salicylates, Indomethacin, NSAIDs
- Antimalarial meds, corticosteroids, immunosuppressive therapy
7
Q
Lifestyle management w/ SLE
A
- Good nutrition
- Medical supervision
- Avoid UV exposure
8
Q
PT management of SLE
A
- Slow resumption of PT activity
- Energy conservation techniques
- Gradual endurance activities
- Pt education for skin care, pacing, exercise, and strengthening to tolerance