Systemic Lupus Erythematosus

Description

Nursing Mind Map on Systemic Lupus Erythematosus, created by Sandra Rodriguez on 30/04/2018.
Sandra Rodriguez
Mind Map by Sandra Rodriguez, updated more than 1 year ago
Sandra Rodriguez
Created by Sandra Rodriguez about 6 years ago
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Resource summary

Systemic Lupus Erythematosus
  1. most common in women
    1. not seen in before age 5 to pre adolescents
    2. Multi system Autoimmune
      1. Inflammation of Blood Vessels and Connective Tissue
        1. Complement system - protects from infection about 30 protiens, initiate, acquired, inflammation immune system
          1. increase Anti DsDNA antibodies => decrease complement
            1. decrease ant DsDNA antibodies => increase complement
          2. Insidious Vs. Acute
            1. 11 Criteria Need 4 out of 11 to Diagnose
              1. SOAP BRAIN MD
                1. Serotitis- Pleuritis, Pericarditis
                  1. Oral Ulcers
                    1. Arthritis - non erosive, once treated goes away
                      1. Photosensitivity
                        1. Blood= all are low
                          1. Renal = Protein - 24 hour urine 400-500mg/ 24 hours need to do Kidney Biospy 75 % of kids
                            1. Neurologic - psyc, seizures, Headache, stroke
                              1. Malar Rash
                                1. Discoid Rash- slightly elevated pink flakes crust scalp outer ear never on lips
                              2. Immunologic DsDNA
                                1. AnA
                  2. Coronary Artery Disease
                    1. Sjogren SYndrome= Carotids, dry eyes and mouth
                      1. Raynauds
                        1. Clotting problems= lupus anticoagulant puts risk clots add baby asspirn
                          1. Infections- Flu, Pneumonococcal, Meningococcal
                    2. Monitor
                      1. Dexo Scan
                        1. Eye Exam- planqueniol= leaves deposits in eyes Prednisone increase eye pressure cataracts
                          1. EKG/Chest X ray Yearly
                            1. TSH+ if have one autoimmune system may have anothe r
                              1. Lipids Homocysteine - coronary artery disease
                                1. Clotting studies- PT, PTT, LAC antiphopholipids
                                  1. 24 hour Urine- 24 hour protein, 24 Creatinine, Creatinine Clearance, EVERY 6 Months
                          2. Osteoporosis
                        2. Treatment
                          1. Prednisone
                            1. Methylprednisone
                              1. Baby ASA
                                1. Anti HTN Nephritis
                                  1. Hydroxychloroquinel- anti malaria= plaquenil
                                    1. Photoprotection
                                      1. Mycophenonate= cellcept Myfortic Cytoxan IV pulsing Immune Suppressant

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