Gout, SLE, and Fibromyalgia PDF

Assessment Signs/Symptoms Widespread, nonarticular musculoskeletal pain and fatigue w multiple tender points, buring pain that fluctuates...

Assessment Signs/Symptoms Widespread, nonarticular musculoskeletal pain and fatigue w multiple tender points, buring pain that fluctuates, difficulty concentrating, memory lapses Nursing Interventions Managment in symptom focus, regular low impact exercise (yoga, tai chi, Fibromyalgia walking, swimming), diet Chronic central pain (limit etoh, caffine, and sugar) syndrome - abnormal central processing of Diagnostic nociceptive pain Testing input in the CNS Positive for 11 of 18 tender points on the widespread pain index History of widespread Prescribed pain for 3+ months Medications Pregabalin, duloxetine, milnacipran: chronic widespread pain SSIRs  Assessment Signs/Symptoms Fatigue/malaise, alopecia, blurred vision, weight loss, joint pain, fever, Nursing anemia, Interventions lymphadenopathy, pericarditis Manage pain, vital signs, monitor for systemic dysfunction, nutrition (small, frequent meals, limit Na+ intake), avoid UV SLE exposure, report edema, and signs of infection atypical immune response that causes chronic inflammation and destruction of normal tissues Toxins, virus, medications Discord: affects skin; butterfly rash over cheeks Prescribed Diagnostic Systemic: connective tissue of organs; can Medications lead to organ failure Testing NSAIDs, Corticosteroids, complication: lupus nephritis and Immunosupressant Autoantibodies: pericarditis/myocarditis Positive ANA (methotrexate and azathiprine (bone marrow CBC - pancytopneia supression), Antimalarial: Results indicating hydroxychloroquine (need organ routine eye exam) dysfunction/failure  Assessment Signs/Symptoms Inflammation of affected joints, Tophi (white nodules consits of uric acid depositis), and episodes of readmission and flare ups Nursing Interventions Diet: avoid foods Gout- an arthrithis related high in purines to elevation of uric acid, (seafoods (shrimp, which deposits in joints red wine/etoh, organ meats, sardines) - kidneys cannot excrete uric acid or production is too much for the kidneys to manage Prescribed Diagnostic Medications Testing Oral colchicine and Uric acid levels elevated (normal 2.7- NSAIDS: infalmmation 8.5) and pain relief Synovial fluid Xanthine oxidase aspiration inhibitors (allopurinol): decrease uric acid production