-
Systemic Lupus Erythematosus (SLE)
is a multisustem inflammatory disease of autoimmun origin. Affects the skin, joints, and serous membranes(pleura, pericardium) along with the renal, hematologic, and neurologic systems.
-
Butterfly Rash
- severe skin reactions can occur in persons who are photosentitive.
- (Lupus)
-
Lupus
24hr. urine sample may be ordered for protein and creatinine clearance.
-
Systemic Sclerosis (SS)
disorder of connective tissue characterized by fibrotic, degenerative, and occasionalli inflammatory changes in the skin, blood vessels, synovium, skeletal muscle, and internal organs.
-
CREST
- Calcinosis-painful deposits of clcium in the skin
- Raynaud's phenomenon-abnormal blood flow in response to cold or stress
- Esophageal dysfunction-difficult with swallowing caused by internal scarring
- Sclerodactyly-tightening of the skin on the fingers and toes
- Telangiectasia-red spots on the hands, forearms, face, palm, and lips.
-
Raynaud's Phenomenon
- (McClelland's Phenomenon)
- pts have diminshed blood flow to the fingers and toes on exposure to cold
- first it's white, then blue, then red.
-
Capsaicin cream
may be useful not only as a local analgesic but also as a vasodilator for Raynaud's Phenomenon.
-
Pts with (SS) Systemic Sclerosis
should not have finger-stick blood testing done because of compromised circulation and poor healing of the fingers.
-
Polymyositis & Dermatomyositis
bilateral weakness of the muscles, so bad pt might not be able to lift head off the pillow
-
Sjogren's Syndrome
autoimmune disease that targets moisture producing glands leading to the common dry eye or dry mouth.
-
In teaching a pt with (CFS) Chronic Fatigue Syndrome about this disorder the nurse understands that
many symptoms are similar to fribromyalgia syndrome
-
When administering meds to the pt with gout, the nurse would recognize which of the following as a treatment for acute disease?
Colchicine
-
In assessing the joints of a pt with RA the nurse understands that the joints are damaged by
invasion of pannus into the joint capsule and subchondral bone
-
Assessment data noted by the nurse i the pt with OA commonly include
progressive joint pain with activity
-
Diff btw OA & RA
- RA- inflammation, bilateral, systemic
- OA-non-inflammation, one side, localized
-
Pain characteristics btw OA & RA
- RA-stiffness lasts 1hr to all day and may decrease with use, pain is variable, may disrupt sleep
- OA-stiffnes soccurs on arising but usually subsides after 30mins. pain gradually worsens with join use and time, lessens with rest.
-
Age onset btw OA & RA
- RA-young to middle age
- OA-usually after 40
|
|
