Download System Lupus

ACTIVE LEARNING TEMPLATE:
System Disorder
Lorraine Carmona
STUDENT NAME______________________________________
Lupus Erythmatosus
DISORDER/DISEASE PROCESS___________________________________________________________
Alterations in
Health (Diagnosis)
Inflammatory, Autoimmune
disorder, systemic disease
Pathophysiology Related
to Client Problem
The body inaccurately recognizes one or more
components in cells and sees it as an antigen. Antigens in
healthy tissue, body creates antibodies and attacks itself.
Affects nearly every organ in the body
REVIEW MODULE CHAPTER____________
Health Promotion and
Disease Prevention
Avoid stress, reduce exposure to
pathogenic infections
ASSESSMENT
SAFETY
CONSIDERATIONS
Risk Factors
Expected Findings
Female 20-40yrs old, Race (Asian, hispanic,
Native American, African american), Can
Mimics other disorders, Lupus decreases in
females after menopause but steady in males,
Lupus can be caused from a combo of
enviromental and genetic factors.
Laboratory Tests
Fatigue. Fever Joint pain, stiffness and swelling.
Butterfly-shaped rash on the face that covers the cheeks and bridge of
the nose or rashes elsewhere on the body.
Skin lesions that appear or worsen with sun exposure.
Fingers and toes that turn white or blue when exposed to cold or
during stressful periods.
Diagnostic Procedures
ANA's /SLE Prep (dsDNA, ssDNA,
Anti-DNP) Serum complement,
(C3,C4), ESR
CBC, Blood clotting time, Urine
test, tissue biopsy
PATIENT-CENTERED CARE
Nursing Care
Assess skin, pain level,
rash, monitor for edema,
monitor BP, BG levels.
Therapeutic Procedures
Support groups
ACTIVE LEARNING TEMPLATES
Avoid prolonged
Sun exposureWear sunscreen,
limit salt intake,
monitor for
edema, monitor
BP, BG levels.
Avoid crowds. do
not abruptly stop
taking meds.
Complications
Medications
NSAIDS,
Corticosteriods
(Prednisone),
Immunosuppres
sents
(Methotrexate,
Belimumab)
Client Education
Avoid stress, take meds as prescibed,
do not abruptly stop steroids make
sure to taper down, Avoid prolonged
UV rays, lotion to dry skin, avoid
vaccines for 30 days prior to immuno
suppressent drugs, avoid harsh hair
treatments
Skin scarring
Joint deformities
Kidney failure
Stroke
Heart attack
Pregnancy
complications
Hip destruction
Interprofessional Care
physical and occupational
therapy services can be used
for strengthening exercises
and adaptive devices, support
groups
Therapeutic Procedure
A11