Lupus: hallmark sign
(ans- butterfly rash on face
Lupus: indication of flare
(ans- fever and fatigue
*also assess bun function
*c reactive
... [Show More] protein remains normal
Lupus: interventions
(ans-
-falls precautions
-treat pain with tylenol and nsaids (monitor kidney function)
-avoid sunlight
-report flare immediately
-clean skin with mild soap and pat dry and apply lotion
Lupus: medical management
(ans-
-hydroxychloroquine(anti-malarial) decreases absorption of uv light
Scleroderma
(ans- inflammatory, autoimmune connective tissue disease
Scleroderma: hallmark sign
(ans- hard, leather-like edematous skin
Late: esophageal dismotility
Scleroderma: assess
(ans- swallow safety--esophageal dysmotility (aspiration)
O2
Circulation
Skin
Scleroderma: interventions
(ans
- aspiration precautions (keep hob at 60 degrees during meals and after)
Skin protection measures
Small frequent meals--avoid caffeine and alcohol
-avoid spices, caffeine and pepper
Fibromyalgia: s/sx
(ans-
extreme fatigure
Gi symptoms
Dysuria
Blurred vision
Forgetfulness
Fibromyalgia: assess
(ans- pain level
Extreme fatigue
Gi symptoms
Fibromyalgia: interventions
(ans-
nsaids
Nuerontin (gabapentin)
Lyrica (pregabalin)
Snri and tricyclic antidepressants (amitriptyline)
Promote sleep and low impact exercise (stretching, walking, swimming, rowing, water exercise)
Lyme disease: hallmark sign
(ans-
stage 1: "bulls eye rash" and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme disease: assess
(ans-
skin
History of tick bites
Lyme disease: interventions
(ans- prevention!
Insect repellant with deet
Early stage--doxycycline antibiotics oral
Late stage--iv antibiotics (ceftriaxone)
Avoid tall grass
Wear light colored clothing
Have pets wear tick collars
Allergic reaction priority
(ans- stop the infusion/eliminate the trigger, then stop the immune response
Give epi
Maintain airway
Latex allergy: risks
(ans- -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
Anaphylactic shock
(ans- airway-
-give epi iv or im stat and intubate if needed
Breathing-
-apply o2; mechanically ventilate
Circulation-
-monitor for distributive shock; give fluids [Show Less]