A 38 year-old African American woman is admitted to the

A 38 year-old African American woman is admitted to the hospital with acute exacerbation of systemic lupus erythematosus. She has recently separated from her husband and has three daughters at home. The oldest is 15 years old. In the past year she has been unable to work as a certified nursing assistant. She is admitted with severe fatigue, arthralgia, and fever of 101.2 tympanically. “I can barely hold a spoon or fork to eat”. She is reporting mouth sores. Her current weight is 113 lbs., she is 5.5 inches tall “My husband could not take the stress of my illness any more: She states that her mother is coming to live with her until she is on her feet. Vital signs: Temp 99.8 tympanically, 165/82 AP 82r. R 22. Pulse OX 95 RA. 6/10 pain almost constant. Lab Values: Medications: WBC’s 15,000 Prednisone 80 mg po bid RBC 3.4 Lovenox 40 mg SC bid Platelets 155,000 Hydroxychloroquine (Plaquenil) 200 mg qd to bid Bun 45 Ibuprophen 800mg three times a day with food Creatinine 2.1 Anti-SR protein antibody assay – Positive 1. Identify important subjective information: a b . Identify important objective information that relates to SLE: a. C. What information do you want that you do not have? (4 minimum but there are more) b. C. d. dentify and state the purpose of these meds as they relate to: Systemic Lupus erythematosus Prednisone 80 mg po bid Lovenox 40 mg SC bid Hydroxychloroquine (Plaquenil) 200 mg bid Ibuprophen 800mg three times a day

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