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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.
- severe skin reactions can occur in persons who are photosentitive.
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.
- 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.
- (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.
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
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?
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