Advanced Adult Health Ashanti Starr Johnson, BSN, RN SLE (Lupus) Advanced Adult Health Ashanti Starr Johnson, BSN, RN
What is it? Autoimmune disorders - abnormal turn-on of immune process, destroys native cells (self eating/destroying). Chronic condition in which the immune system attacks own organs & tissues. Can affect various body systems/organs
How do you get it? SLE - chronic, multisystem inflammatory Inherited predisposition Sunlight exposure Medications BP meds, antibiotics, anti-seizure meds Usually Women affected ages 15-40, African Americans, Hispanics & Asians most common Immune complexes with Ab against host tissue
What does it look like? Signs/Symptoms May develop slowly or suddenly, mild or severe, temporary or permanent Flare-ups Fatigue & fever Joint pain, stiffness, swelling Butterfly rash on face Skin lesions that worsen in sun exposure Raynauds? SOB, CP, HA memory loss, confusion Dry eyes
What does it look like?
How do you detect it? Difficult to diagnose as it mimics other conditions. Look at s/s.
How do we treat it? No cure. Treatments help control symptoms
What do YOU (Nurse) do about it? Monitor for: Infection Cancer Avascular necrosis Pregnancy complications Heart (pericarditis) Lungs (pleurisy) Blood & vessels (vasculitis) Brain Kidneys (renal failure)