Case Study

2545 WordsApr 9, 201311 Pages
Case Study Number 2 McKenzie Chavez What is the significance of each of D.W.’s laboratory findings? The tests that were run for the patient D.W. were performed to determine a diagnosis and treatment. Even though the disease systemic lupus erthematosus (SLE) doesn’t have a test that specifically diagnosis this diseases, there are test that are run to help with understand contributing factors. The significance of a positive antinuclear antibody (ANA) titer is that 98% of people with systemic lupus test positive, even though it is not enough for a diagnosis of lupus (healthy individuals can test positive) it is a good indication along with other diagnostics test in the presence of lupus. The anti-double-stranded DNA antibody…show more content…
How will D.W.’s treatment and care plan likely change? D.W.’s treatment will now be focused on treating her lupus nephritis. An emphasis on fluid retention in the assessment will play a big role in the new care plan. Lupus nephritis is treated with medications that suppress the immune system, so it stops attacking and damaging the kidneys. Standard treatment includes a corticosteroid, usually prednisone, to reduce inflammation in the kidneys. An immunosuppressive medication, such as cyclophosphamide or mycophenolate mofetil, is typically used with prednisone. Hydroxychloroquine, a medication for treating SLE, should also be prescribed or continued for people with lupus nephritis. Along with the use of medication lifestyle changes should complement treatment. D.W. should drink plenty of fluids, eat a low sodium, potassium, phosphorus, and protein diet, avoid smoking and drinking alcohol, exercise regularly, maintain a healthy blood pressure, and avoid NSAIDs. If renal failure worsens dialysis may be needed (smeltzer). What preventative measures should be instituted to protect D.W. at this time? Due to the patients acute exacerbation of her disease she now has lupus cerebritis. First the cause of the cerebritis is determined, it can be bacterial or secondary to SLE once this has been determined treatment can begin. Lupus cerebritis is most often treated by suppressing the autoimmune activity. When it is caused by infections,

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