Chpt 65 Cont.

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Chpt 65 Cont.
2011-10-27 15:05:18

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  1. 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.
  2. Butterfly Rash
    • severe skin reactions can occur in persons who are photosentitive.
    • (Lupus)
  3. Lupus
    24hr. urine sample may be ordered for protein and creatinine clearance.
  4. 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.
  5. 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.
  6. 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.
  7. Capsaicin cream
    may be useful not only as a local analgesic but also as a vasodilator for Raynaud's Phenomenon.
  8. Pts with (SS) Systemic Sclerosis
    should not have finger-stick blood testing done because of compromised circulation and poor healing of the fingers.
  9. Polymyositis & Dermatomyositis
    bilateral weakness of the muscles, so bad pt might not be able to lift head off the pillow
  10. Sjogren's Syndrome
    autoimmune disease that targets moisture producing glands leading to the common dry eye or dry mouth.
  11. In teaching a pt with (CFS) Chronic Fatigue Syndrome about this disorder the nurse understands that
    many symptoms are similar to fribromyalgia syndrome
  12. When administering meds to the pt with gout, the nurse would recognize which of the following as a treatment for acute disease?
  13. 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
  14. Assessment data noted by the nurse i the pt with OA commonly include
    progressive joint pain with activity
  15. Diff btw OA & RA
    • RA- inflammation, bilateral, systemic
    • OA-non-inflammation, one side, localized
  16. 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.
  17. Age onset btw OA & RA
    • RA-young to middle age
    • OA-usually after 40