Systemic Lupus Erythematosus

what are nursing diagnosis for Systemic Lupus Erythematosus? (5)

1. Altered comfort 2. Pain - acute and chronic 3. Powerlessness 4. Risk for impaired skin integrity 5. Fatigue

what are medications for Systemic Lupus Erythematosus? (4)

1. Choline magnesium trisalicylate 2. NSAIDs 3. Hydroxychloroquine 4. Corticosteroids

there are two classification of lupus erythematosus:

1. Discoid lupus erythematosus (DLE) affects skin only. 2. Systemic lupus erythematosus (SLE) can cause major body organs and systems to fail.

what are Nursing Implementation for Systemic Lupus Erythematosus? (7)

1. Encourage maintenance of activity 2. Pace activities 3. Hot packs for joint pain/stiffness 4. Raynaud's: warmth and protect from injury 5. Support self image 6. Adequate rest 7. Avoid infectious people

what are two type of involvements will lead and cause of death for patient have lupus?

1. Kindey involvement 2. cardiac involvement

what are sign and symptom for Systemic Lupus Erythematosus ? (11)

1. Malar "butterfly" rash 2. Discoid lesion rash 3. Photosensitivity 4. Oral ulcers 5. Arthritis 6. Serositis 7. Evidence of kidney disease 8. Evidence of severe neurological disease 9. Hematologic disorders (pancytopenia) 10. Immunologic abnormalities 11. Positive antinuclear antibody (ANA)

what can be the factor that trigger lupus? (4)

1. Sunlight 2. Stress 3. Pregnancy 4. Drugs

what a nurse will want to assessment when the patient have DLE (1) or SLE (7)?

A. DLE: 1. Dry, scaly rash on face or upper body (butterfly rash) B. SLE 1. Joint pain and decreased mobility 2. Fever 3. Nephritis 4. Pleural effusion 5. Pericarditis 6. Abdominal pain 7. Photosensitivity

what will be the nursing plans and interventions for a patient have lupus erythematosis? (3)

A. Instruct client to avoid prolonged exposure to sunlight. B. Instruct client to clean the skin with mild soap. C. Monitor and instruct client in administration of steroids.

what is Systemic Lupus Erythematosus ?

An inflammatory disease caused when the immune system attacks its own tissues.

what are diagnosis for Systemic Lupus Erythematosus?

Diagnosis: - 4 of 11 identified criteria must be present for diagnosis to be made - More common in blacks and Asians than whites 1. Presentation can mimic other diseases 2. Other autoimmune diseases can co-exist

Pathophysiology of SLE

Lupus is a chronic autoimmune disease in which the immune system attacks different parts of the body causing inflammation and damage to various body tissues. Lupus can affect the skin, joints, heart, lungs, kidneys, blood vessels and brain. Patients with lupus may have phases of worsening symptoms called "flares" and other periods of milder symptoms. Lupus symptoms may mimic other disorders and may go undetected for several years. Management by a rheumatologist is recommended.

Desired Outcome of SLE

Reduce inflammation, regain optimal mobility, reduce organ dysfunction, reduce number and frequency of "flares"

what is SLE?

Systemic Lupus Erythematosus

Etiology (Cause of SLE)

The exact cause of SLE is not known, but scientists believe it may be in part related to genetics. Environmental factors that seem to trigger lupus include sunlight, stress, viruses, trauma and some medications.

what kind of disorder the Lupus is?

autoimmune disorder

what should you avoid when you try to management of lupus erythematosus?

avoiding sunlight is the key that nclex like to quiz about.