RESUMEN
Giant cell arteritis (GCA) is an uncommon autoimmune inflammatory vasculopathy that can lead to the destruction and occlusion of various arteries that consequently can cause serious complications such as stroke or sight loss. It is seen as a medical emergency. The most commonly affected vessel in GCA is the temporal artery in the side of the head, hence the condition is sometimes also referred to as 'temporal arteritis'. This article discusses the introduction of an advanced nurse practitioner-led temporal artery biopsy service.
Asunto(s)
Arteritis de Células Gigantes , Enfermeras Practicantes , Arterias Temporales , Biopsia/enfermería , Arteritis de Células Gigantes/enfermería , Humanos , Arterias Temporales/patologíaRESUMEN
Vasculitis is a heterogeneous group of uncommon, complex rheumatologic diseases. These diseases are known for their high mortality and morbidity rates due to the underlying disorders themselves, as well as complications of their conventional treatments. Oral and intravenous glucocorticosteroids and other immunosuppressive agents such as cyclophosphamide, methotrexate, and azathioprine are used to manage these diseases. These therapies are effective, but they have a global impact (often negative) on patients' immune systems and cause a number of nonimmunologic toxicities. They also are ineffective in inducing long-term remissions. Novel biologic infusion agents such as rituximab and infliximab are being prescribed off-label for some patients with vasculitis who have failed to respond to conventional therapy or because there are contraindications to standard-of-care treatments. This article provides an orientation to vasculitis, its standard of care, infusion biologics under investigation in these diseases, and the nursing implications for infusion professionals.
Asunto(s)
Anticuerpos Monoclonales/uso terapéutico , Inmunoterapia/métodos , Vasculitis/terapia , Anticuerpos Monoclonales/administración & dosificación , Anticuerpos Monoclonales de Origen Murino , Arteritis de Células Gigantes/inmunología , Arteritis de Células Gigantes/enfermería , Arteritis de Células Gigantes/terapia , Granulomatosis con Poliangitis/inmunología , Granulomatosis con Poliangitis/enfermería , Granulomatosis con Poliangitis/terapia , Humanos , Infliximab , Infusiones Intravenosas/enfermería , Rituximab , Vasculitis/inmunología , Vasculitis/enfermeríaAsunto(s)
Arteritis de Células Gigantes/diagnóstico , Arteritis de Células Gigantes/terapia , Corticoesteroides/uso terapéutico , Anciano , Analgésicos/uso terapéutico , Arteritis de Células Gigantes/complicaciones , Arteritis de Células Gigantes/enfermería , Cefalea/tratamiento farmacológico , Cefalea/etiología , Humanos , Persona de Mediana Edad , Trastornos de la Visión/etiología , Trastornos de la Visión/enfermeríaRESUMEN
Polymyalgia rheumatica (PMR) is a periarticular rheumatic condition characterized by pain and stiffness, primarily in the neck, shoulders, hips, and pelvic girdle. Temporal arteritis (TA) or giant cell arteritis, the most common primary vasculitis in older adults, is found in approximately 10% to 30% of people who have PMR. Left untreated, TA can result in sudden, irreversible blindness. Geriatric nurses need to familiarize themselves with these disorders to accurately assess and manage people with them.
Asunto(s)
Arteritis de Células Gigantes/enfermería , Evaluación en Enfermería/métodos , Polimialgia Reumática/enfermería , Anciano , Antiinflamatorios/uso terapéutico , Ceguera/etiología , Diagnóstico Diferencial , Femenino , Arteritis de Células Gigantes/complicaciones , Arteritis de Células Gigantes/diagnóstico , Arteritis de Células Gigantes/tratamiento farmacológico , Humanos , Polimialgia Reumática/complicaciones , Polimialgia Reumática/diagnóstico , Polimialgia Reumática/tratamiento farmacológico , Prednisona/uso terapéutico , RecurrenciaRESUMEN
Polymyalgia rheumatica (PMA) and temporal arteritis (TA) are common clinical syndromes that affect the elderly population. Both syndromes may include similar constitutional complaints, an increase in acute phase reactants, a rapid response to corticosteroids, and the presence of anteritis giant cells upon temporal artery biopsy. Differential diagnosis is one of exclusion. A case presentation is included to assist practitioners in recognizing presenting symptoms, identifying diagnostic testing, and proceeding with appropriate therapy and follow-up.
Asunto(s)
Corticoesteroides/uso terapéutico , Arteritis de Células Gigantes , Polimialgia Reumática , Anciano , Diagnóstico Diferencial , Femenino , Arteritis de Células Gigantes/diagnóstico , Arteritis de Células Gigantes/tratamiento farmacológico , Arteritis de Células Gigantes/enfermería , Arteritis de Células Gigantes/fisiopatología , Humanos , Masculino , Polimialgia Reumática/diagnóstico , Polimialgia Reumática/tratamiento farmacológico , Polimialgia Reumática/enfermería , Polimialgia Reumática/fisiopatologíaRESUMEN
The perioperative nurse must understand the temporal arteritis disease process and surgical procedure so that he or she may function as an integral member of the surgical team. Preoperative, intraoperative, and postoperative nursing interventions are important and necessary to provide holistic patient care.