Found commonly at pressure points like elbow, posterior forearm, and metacarpophangeal joints.
Rheumatoid arthritis home can be managed at home with ____.
Physical therapy : maintain joint motion and muscle strength
It is important to teach patients' with Rheumatoid arthritis ___.
Importance of exercise to maintain mobility and prevent contractures and deformity to joints. The use of heat and cold for pain management.
Describe drug therapy for rheumatoid arthritis.
Disease modifying antirheumatic drugs (DMARDs) lessen the permanent effects of RA : joint erosion and deformity
Methatrexate (Rheumatrex) is the drug of choice
Sulfasalazine (Azulifidine) and hydroxychloroquine (Plaquenil): used for mild to moderate RA
Other Drugs: etanercept (Enbrel), infliximab (Remicaide), cortiosteroid therapy.
An infrequently used treatment for Rheumatoid arthritis that fliters harmful immune complexes from the patient's blood.
Apheresis: Once a week for 12 weeks
Nurses should focus on pain and inflammation management, maintaining function and preventing/ correcting deformity in patients with ___
In patients' with Rheumatoid arthritis, heat therapy is used for ___.
In patients' with Rheumatoid arthritis, cold therapy is used for ___.
Periods of acute exacerbation.
Polypharmacy in the elderly can result in ___
To prevent: simplify drug regimen and ensure adequate support system of elderly patients
A chronic disease that causes inflammation of the joints between spinal bones and between the spine and pelvis.
Ankylosing Spondylitis: affects males more than females
Blood test that tests the speed of blood cell sediment, an indication of inflammation.
Erythrocyte Sedimentation Rate (ESR)
Test used to detect a protein made by the liver during an inflammation response.
C-reactive protein (CRP)
Patients with Ankylosing Spondylitis may present with ____
Symmetric sacroiliitis with progressive inflammatory arthritis
Begins with intermitent lower back pain.
Pain lessens with activity
May lose mobility in the lower spine
May lose ability to expand chest
Swelling and irritation of the uvea, middle layer of the eye that may occur with Ankylosing Spondylitis, RA, infection, or exposure to toxins.
Uveitis: Uvea provides most of the blood supply to the retina. Can be asymmetrical.
Treatment for Ankylosing Spondylitis is focused on maintaining mobility.
NSAIDs, corticosteroids, enbrel, remicade, and humira are drug therapys that may be effective.
Heat for local symptoms
Education: Disease process, exercise, medicines, deep breathing.
Physical therapy: Stretching and strengthening to improve flexion and extension.
Low-fat and low cholesterol diets are recommended for patients with
Systemic Lupus Erythematous (SLE)
A Severe complication of Systemic Lupus Erythematous ____ presents with sudden and unexplained swelling (Feet, ankles, legs, fingers, arms, or eyes), Blood in urine, elevated blood pressure, foamy urine, increased night urination, and proteinuria
Patients are at increased risk for fluid retention, elevated blood pressure, mood swings, and weight gain while taking ____.