Drug Therapy in Rheumatology Nursing by Sarah Ryan

By Sarah Ryan

Drug remedy administration is a key subject for all nurses taking good care of sufferers with a rheumatologic situation. With nurses now required to prescribe, administer, display screen and evaluation drugs, this quantity may help nurses boost their wisdom, abilities and self-confidence to supply those prone, whereas additionally advising at the merits and hazards of medicine. Drug remedy In Rheumatology Nursing; Contents; record of individuals; checklist of Figures; checklist of Tables; Preface; 1 Rheumatological stipulations; 2 Drug treatment; three The function of the Nurse in Drug treatment; four sufferer schooling and Adherence with Drug remedy; Index

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Juvenile arthritis was first described by George Frederick Still, a children’s specialist, in 1896. The term ‘Still’s disease’ was used for many years in relation to childhood arthritis. The term ‘Still’s’ tends to be used today only to describe the rash associated with systemic onset arthritis (Leach, 1997). In very young children who cannot express their pain the first signs may be limping, guarding of joints or even an outright refusal to move (Leach, 1997). The goals of therapy in juvenile arthritis are pain relief and preservation of joint function, so as to maintain normal growth and psychosocial development (Cassidy, 1994).

The use of systemic corticosteroids is avoided where possible as tapering can cause an exacerbation of the skin disease. , 2005). SEPTIC ARTHRITIS Definition Septic arthritis is defined as joint inflammation caused by the presence of live intraarticular micro-organisms and must be distinguished from reactive arthritis in which synovitis is triggered by a primary infection at a site distant from the joint (Hughes, 1996). Hughes states that septic arthritis arises as a result of infection with bacteria, viruses, fungi and, more rarely, other obscure micro-organisms such as protozoa.

Polyarticular onset (15−25%): arthritis affects more than five joints. Onset is usually gradual, affecting knees, ankles, wrists, elbows. The smaller joints of the hands and feet may be affected. Most cases are RF-negative, those cases that are RF-positive are similar to adult onset RA and may be titled juvenile-onset adult RA (Leach, 1997). This type is often ANA-positive. In systemic arthritis (Still’s disease, 10−20%) presentation is with systemic features, which may precede the arthritis. These may include: • • • • • • remitting fever (more than 39 C); adenopathy; hepatosplenomegaly; pericarditis; leucocytosis; anaemia (Leach, 1997).

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