What is SLE?

• SLE is an autoimmune disease that can affect many parts of the body, like the kidneys, skin, the heart, joints, and lungs.
• Systemic lupus erythematosus (SLE) is the most common and most serious type of lupus.
• Discoid lupus erythematosus (DLE) also called cutaneous lupus erythematosus. DLE affects the skin. It does not affect other organs.
• DLE shows up like a red rash or scaly patch, commonly found on the face or scalp, butterfly rash.
• Leading cause of death in clients with Lupus – Kidney and Cardiac involvement.
• Another type of lupus is the Drug-induced lupus, this type is caused by reaction to some prescription drugs.

Triggers of Lupus

• Sunlight – very specific with Lupus
• Stress
• Pregnancy
• Drugs

Assessment Findings – SLE

• Joint pain and decreased mobility, Photosensitivity, HTN,
• Fever, Pericarditis, Nephritis, Pleural effusion

Instructions for the client with SLE

• Instruct client to avoid prolonged exposure to sunlight.
• Avoid stress and illness
• Provide instruction about medications – steroids.

Nursing Care –

• Monitor for Pain, mobility, and fatigue,
• Vital signs
• UOP, BUN, & serum creatinine.

Medications –

• Corticosteroids
• NSAIDs (not for clients who have renal compromise)
• Immunosuppressant agents
• Antimalarial

Complications – Lupus nephritis, Pericarditis and myocarditis

References:
Medical-Surgical Nursing, 9th Edition by Lewis, Heitkemper, et all.
Understanding Medical Surgical Nursing by Paula D Hopper

Rophem Nursing.