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
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.
- NSAIDs (not for clients who have renal compromise)
- Immunosuppressant agents
Complications – Lupus nephritis, Pericarditis and myocarditis
Medical-Surgical Nursing, 9th Edition by Lewis, Heitkemper, et all.
Understanding Medical Surgical Nursing by Paula D Hopper