Presentation Transcript
Chapter 54Assessment and Management of Patients With Rheumatic Disorders :Chapter 54Assessment and Management of Patients With Rheumatic Disorders
Systemic Lupus Erythematosus (SLE) :Systemic Lupus Erythematosus (SLE) Chronic multisystem inflammatory disease
Associated with abnormalities of immune system
Cause unknown
Most probable causes thought to result from interactions among genetic, hormonal, environmental, certain medications and immunologic factors
Most cases occur in women of childbearing years
African, Asian, Hispanic, and Native Americans three times more likely to develop than whites
Autoimmune reactions directed against constituents of cell nucleus, DNA
Antibody response related to B and T cell hyperactivity
Systemic Lupus Erythematosus :Systemic Lupus Erythematosus Affects the
Skin
Joints
Serous membranes
Renal system
Hematologic system
Neurologic system
Drug Therapy for Lupus :Drug Therapy for Lupus Drug therapy
Corticosteroids single most important medication
Antimalarial drugs
Monitor for retinal toxicity
NSAIDS
Immunosuppressive drugs
Monitor for myleosuppression
Plasmapheresis
Nursing Management- Lupus :Nursing Management- Lupus Plan for rest periods to avoid fatigue and reduce stress
Avoid environmental triggers
Monitor for potential complications
Women with serious SLE should be counseled against pregnancy
Pain relief measures
Monitor weight and I/O’s
Monitor neuro status