Health Care > STUDY GUIDE > Nur 265 Exam 4 Study Guide: Latest Updated: Guaranteed A+ Guide (All)
Labs Hbg 12-18 Hct 37-52% WBC 5-10 RBC 4.2-6.1 PLT 150-400 PT 11-12.5 sec (1.5-2.5x normal on Coumadin = 16.5-31.25 sec) INR 0.9-1.2 sec (Therapeutic level 2-3x norm... al = 1.8-3.6 sec) PTT 60-70 sec (1.5-2.5x normal on Heparin = 90-175) Na 135-145 K+ 3.5-5 Creatinine 0.5-1.2 BUN 10-20 Albumin 3.5-5 Mg 1.5-2.5 Ca 9-10.5 Cl 98-106 Phosphorus 2-4.5 Specific Gravity 1.005-1.030 Discoid lupus Affects only the skin and is not lethal - Caused by UV rays Macular Rash & Discoid Rash Skin biopsy to dx Systemic Lupus Erythematosus (313-317) ***TEMPERATURE*** Chronic, progressive, inflammatory connective tissue disorder that affects multiple body systems &organs o REMISSIONS/EXACCERBATIONS (can end up in the ICU) - Autoimmune o Attracted to KIDNEY’s—Lupus Nephritis is leading cause of death; this is direct damage to the kidneys Poor survival associated with high creatinine, low hematocrit, proteinuria o Young Women of child bearing age 20-40 Y (primary AA women) o SLE & DLE both share a disfiguring and embarrassing rash!! Clinical manifestations o Malar rash – red flat or raised rash over cheeks sparing nasolabial folds “butterfly rash” o Discoid rash – Red raised patches with scaling follicle plugging o Photosensitivity– discoid skin rash from sun exposure - pt should wear sunscreen or protective clothing o Oral ulcers–usually painless o Polyarthritis-multiple joints affected Small joints and knees inflamed Osteonecrosis from chronic steroid use (5y+) o Pleuritis with pleural effusion or pericarditis o Fever is the major sign of exacerbation o Generalized weakness, fatigue, anorexia, weight loss o Renal disorders–proteinuria, cellular casts o Neurologic disorders – seizures, psychosis and also peripheral neuropathies o Raynaud’s phenomena Exposure to cold or extreme stress – red, white, blue & pain of digits o Alopecia or hair loss common [Show More]
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