What is teaching with lupus?
(Ans-
limit sun exposure
monitor body temp
preg can trigger
pat skin dry/clean w/ mild soap
avoid alcohol or
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no live vaccine for 30 days before tx
What is lupus?
(Ans- an immune system generates antibodies against histones and DNA released by normal breakdown of body cells. causes skin rashes, fever, arthritis, and kidney disfunction
What labs is done to dx lupus?
(Ans- skin biopsy confirms diagnosis
immunologic based lab test same as RA
What are interventions with lupus?
(Ans-
topical cortisone
NSAIDs
chronic steroid therapy (take in AM)
immunosuppressants (avoid large crowds)
what is the self management for lupus
(Ans- Except fatigue as a continuing but manageable condition
Avoid self blame for the need to alter activity
Keep in mind that your health comes 1st
Make rest time a priority and make sure your family knows why
If you smoke stop and avoid nicotine in any form
Plan ahead and print orthodox your activities this are activities keeping in mind that you do not have to be a superperson
Group your errands when driving starting with those further from home and heading toward home
When possible shop online and have items delivered directly to you
Prepare meals in advance on less busy days
Is when possible prepare items while sitting
Carefully select which activities and events you can attend or participate in and which ones you must regretfully decline
Work on asking for what you need asking for help will become easier with time and practice
accept help offered by others
Make adjustments in your life that will help you live better
What are people with latex allergies usually also allergic to?
(Ans- banana, avocado, or nut allergies
what are Nursing diagnosis’s and interventions for lupus
(Ans- Persistent pain Due to chronic inflammation and hypoxia =pain management with drug therapy =Tylenol and NSAIDs, corticosteroids
Fatigue due to chronic inflammation and hypoxia= Help patient recognize their health must come 1st and learn to make lifestyle choices to improve endurance and prevent excessive fatigue
potential for loss of tissue integrity and organ failure with progression = Drug therapy involving is involving combination of immunos suppressing agents and selective immunos suppressive agent= corticosteroids, antimalarial drugs (hydroxychloroquine)
Potential for decrease self esteem due to changes in body image =support positive coping mechanism/ mental health professional
what meds are used for management of lupus?
(Ans- topical corticosteroids
Tylenol/ NSAIDs
hydo|ychloroquine
steroids
immunosuppressive agents (methotrexate)
what is the teaching for hydroxychloroquine
(Ans- Teach patients to have frequent eye examinations with visual field testing before starting the drug and every 6 months after starting drug
What is Lyme disease?
(Ans- systemic infection caused by spirochete borrelia burgdorferi d/t tick bite
What is Stage 1 with lyme?
(Ans- flu like symptoms
erythema migrans (bulls eye)
pain/stiffness in muscles/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
What is Stage 2 with lyme?
(Ans- 2-12wks after tick bite
can develop carditis w/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial paralysis, peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
What is stage3 with lyme?
(Ans- months-years after bite
arthritis is 1st and only symptom
What is teaching with lyme?
(Ans- avoid heavily wooded areas
wear light colors
DEET repellent
long sleeves & pants
bathe & inspect immed.
remove w/ tweezers & flush (DO NOT BURN)
How do you remove ticks?
(Ans- with tweezers making sure you remove the tick intact within 36 hours
What is the purpose of inflammation and immunity?
(Ans- to provide protection by neutralizing, eliminating or destroying organisms that invade the body.
What are the different types of reactions?
(Ans-
type 1= immediate( hay fever, allergic asthma or anaphylaxis)
type 2= cytotoxic (hemolytic anemia, myasthenia gravis)
type 3= immune (serum sickness, lupus, RA
type 4= delayed ( poison ivy, graft rejection, positive tb test)
How are allergens contracted?
(Ans- inhalation, ingestion, injection, contraction (latex, pollen)
What is an allergic reaction?
(Ans- excessive inflammation in response to the presence of an antigen to which the pt has been previously exposed
What is an allergic reaction type 1?
(Ans- anaphylaxis
What are s/s of allergies? [Show Less]