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Juvenile Idiopathic Arthritis

What is Juvenile Idiopathic Arthritis? Arthritis with an unknown cause in children Inflammation involving one or more joints that lasts more han 6 weeks and is diagnosed prior to 16 years of age.
Pathophysiology of JIA Joint inflammation, pain, and swelling that leads to scar tissue and limited range of motion. Altered growth (Fractures, Contractures, Synovitis)
Onset Peaks between 1-3 years of age Occurs twice as often in females than males 1/1000 children in the US
Symptoms of JIA Fever Rash Lymphadenopathy Splenomegaly Hepatomegaly
Joint involvement of JIA Decreased mobility Swelling Pain
Diagnosis No definitive lab test to confirm *ESR and CRP can help determin the amount of inflammation *Rheumatoid Factor (RF) *Antinuclear antibody (ANA) XRay done to rule out other causes and to monitor joint damage and bone development
Treatment Plan Relieve Pain Control inflammation Preserve joint function Prevent deformities Achieve remission Minimize side effects of both disease and treatment Promote normal growth and development
Pharmacotherapy NSAIDS to reduce inflammation and pain Methotrexate - DMARD Steroids - Prednisone, Methylprednisone
Nursing Care Promote mobility- ROM exercises, Stretching, Hydrotherapy Encourage adequate nutrition Education
Created by: Jennwyo83
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