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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