SLE (LUPUS)

Question 1

Assessment of SLE

Answer 1

Have a large range

• Patient can be healthy during a remission period
• Can be very ill during an exacerbation

Question 2

Assessment physical

Answer 2

• butterfly rash
• fever, fatigue, wt loss
• anorexia
• polyarthritis
  Osteonecrosis
• muscle atrophy
• myalgia
• kidney issues
• pleural effisions
• pneumonia
• percarditis
• Reynaud’s phenomenon
• Triggered by cold stress
• neuro
• lymph enlargement

Question 3

Diagnostics

Answer 3

Skin biopsy

• RF +
• ESR elevated
• ANA+
• Serum complement (C3 + C4)
• Anti-SS a, Anti- SS-b
• CBC/CMP

Question 4

Interventions

Answer 4

Pharmacology ( steroids, immunosuppresive, biologics)

• Nursing care: skin protection, (mild soap, lotion, cosmetics) (suncreen),
• Hair treatment
• Importance of recognizing exacerbations (FEVER)
• Misunderstanding/ knowledge deficit