Systemic Lupus Erythematosus

Proven Lupus Treatment By Dr Gary Levin

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2. Diagnosis: Systemic Lupus Erythematosus

3. Condition:

4. Vital signs: tid

5. Allergies:

6. Activity: Up as tolerated with bathroom privileges

7. Nursing:

8. Diet: No added salt, low psoralen diet.

9. Special Medications:

-Ibuprofen (Motrin) 400 mg PO qid (max 2.4 g/d) OR -Indomethacin (Indocin) 25-50 mg tid-qid. -Hydroxychloroquine (Plaquenil) 200-600 mg/d PO

-Prednisone 60-100 mg PO qd, may increase to 200-300 mg/d. Maintenance

10-20 mg PO qd or 20-40 mg PO qOD OR -Methylprednisolone (pulse therapy) 500 mg IV over 30 min q12h for 3-5d, then prednisone 50 mg PO qd. -Betamethasone dipropionate (Diprolene) 0.05% ointment applied bid. 1G. Extras: CXR PA, LAT, ECG. Rheumatology consult. 11. Labs: CBC, platelets, SMA 7&12, INR/PTT, ESR, complement CH-50, C3, C4, C-reactive protein, LE prep, Coombs test, VDRL, rheumatoid factor, ANA, DNA binding, lupus anticoagulant, anticardiolipin, antinuclear cytoplasmic antibody. UA.

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