NUR 265 Exam 4 Study Guide
Lupus: hallmark sign
(ans- butterfly rash on face
Lupus: indication of flare
(ans- fever and fatigue
*also assess bun function *c reactive 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
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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
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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! 3 / 4
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
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