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13525653
Systemic Lupus Erythematosus
Description
Nursing Mind Map on Systemic Lupus Erythematosus, created by Sandra Rodriguez on 30/04/2018.
No tags specified
nurse practitioner
lupus
sle
nursing
Mind Map by
Sandra Rodriguez
, updated more than 1 year ago
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Created by
Sandra Rodriguez
over 6 years ago
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Resource summary
Systemic Lupus Erythematosus
most common in women
not seen in before age 5 to pre adolescents
Multi system Autoimmune
Inflammation of Blood Vessels and Connective Tissue
Complement system - protects from infection about 30 protiens, initiate, acquired, inflammation immune system
increase Anti DsDNA antibodies => decrease complement
decrease ant DsDNA antibodies => increase complement
Insidious Vs. Acute
11 Criteria Need 4 out of 11 to Diagnose
SOAP BRAIN MD
Serotitis- Pleuritis, Pericarditis
Oral Ulcers
Arthritis - non erosive, once treated goes away
Photosensitivity
Blood= all are low
Renal = Protein - 24 hour urine 400-500mg/ 24 hours need to do Kidney Biospy 75 % of kids
Neurologic - psyc, seizures, Headache, stroke
Malar Rash
Discoid Rash- slightly elevated pink flakes crust scalp outer ear never on lips
Immunologic DsDNA
AnA
Coronary Artery Disease
Sjogren SYndrome= Carotids, dry eyes and mouth
Raynauds
Clotting problems= lupus anticoagulant puts risk clots add baby asspirn
Infections- Flu, Pneumonococcal, Meningococcal
Monitor
Dexo Scan
Eye Exam- planqueniol= leaves deposits in eyes Prednisone increase eye pressure cataracts
EKG/Chest X ray Yearly
TSH+ if have one autoimmune system may have anothe r
Lipids Homocysteine - coronary artery disease
Clotting studies- PT, PTT, LAC antiphopholipids
24 hour Urine- 24 hour protein, 24 Creatinine, Creatinine Clearance, EVERY 6 Months
Osteoporosis
Treatment
Prednisone
Methylprednisone
Baby ASA
Anti HTN Nephritis
Hydroxychloroquinel- anti malaria= plaquenil
Photoprotection
Mycophenonate= cellcept Myfortic Cytoxan IV pulsing Immune Suppressant
Media attachments
27915tn (binary/octet-stream)
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