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Rheumatoid Arthritis

TermDefinition
What is RA? A common connective tissue disease Chronic, Progressive, Systemic inflammatory autoimmune disease, affects primarily synovial joints Transformed autoantibodies (rheumatoid factors IgG IgM types) form and attack healthy tissue causing inflammation
Early signs Joint stiffness, Swelling, Pain, Fatigue, Weakness, Anorexia, Paresthesias
Late signs Deformities, Moderate to severe pain, Morning stiffness, Anemia, Weight loss, Severe fatigue, Subcutaneous nodules, Peripheral neuropathy, Vasculitits, Pericarditis, Periungual lesions,
Sjogren's Syndrome Dry eyes, Dry mouth, Dry vagina
Labs Rheumatoid factor, Antinuclear antibody titer, ESR, Serum complement (C3 and C4), Serum protein electrophoresis, Serum immunoglobins
Diagnostic Screenings X-ray, CT, Arthrocentesis, Bone scan
What are the priority collorative problems for patients with RA? *Chronic inflammation and pain *Potential for decreased mobility *Potential for decreased self-esteem image
Managing chronic inflammation and pain DMARDs -Disease Modifying Antirheumatic Drugs NSAIDs BRMs - Biological response Modifiers Glucocorticoids Immunosuppresive agents
DMARDs Disease Modifying Antirheumatic Drugs Methotrexate - Cytotoxic Immunosuppressant
BRMs Biological Response Modifiers - reduce signals for the immune system to cause inflammation
Nonphamacologic pain management interventions Adequate rest Proper positioning Ice/Heat Self-management/Autonomy Management of fatigue Enhance body image
Created by: Jennwyo83
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