What is it? What causes it? Common ages/RF?
Under what age is JIA seen in?
Under 16 years old
The 2 most basic symptoms of JIA
Joint pain & swelling
What are 2 other tests a provider can order to assess a patient's musculoskeletal system besides a symptom eval, lab tests, & medical history?
Ultrasound & MRI
This intervention may only relieve pain associated with JIA & may not improve function
Joint replacement or fusion surgery
Depression & anxiety
What puts a child at risk for JIA?
Vitamin D deficiency, family history of JIA, mom smoking during pregnancy
What are the 3 signs of chronic inflammation d/t systemic involvement?
Fatigue, fever, weight loss
What is a characteristic diagnostic sign regarding the synovial joints?
Thickening and/or effusion of synovial joints
What should the nurse promote & implement for a hospitalized patient with JIA?
Safe play & fall precautions
The nurse should educate the parent and the patient with JIA to limit what things in their diet?
Saturated fats, sodium, sugar, & artificial ingredients
What is JIA? (basic description)
A group of chronic, systemic, autoimmune inflammatory disorders that causes pain & swelling children under 16
What is a symptom of JIA that may alter gait?
Premature fusion of bones
Swelling and inflammation in 1+ joint must be present for how long in order to help diagnose JIA?
6 weeks
This medication has side effects of muscle aches and fever, and works by interfering with cytokine and depleting B cells, also known as a biologic response modifier
The nurse should educate the parents of a patient taking remicade that they are at an increased risk for .... (finish the sentence)
Serious fungal & bacterial infections
What is pannus?
An overgrowth of synovial tissue causing stiffness & inflammation of a joint
What are 2 symptoms of JIA that are very nonspecific & may be overlooked by the provider if presented alone?
Fluctuating high fever & lymphadenopathy
What 3 things does the provider rely on to diagnose JIA?
Lab tests, medical history, evaluation of clinical manifestations
This medication has side effects of GI upset and photosensitivity, and works by suppressing the immune system & preventing joint damage
Methotrexate
The nurse should educate the parents to do this in order to promote a healthy immune system overall for their child with JIA to ensure that their child does not acquire any preventable and possibly lethal illnesses.
Get all their vaccinations!
What causes hypoxia of the joint?
Immune & inflammatory cells infiltrate the joints, causing an imbalance that results in a thickening of the synovial membrane, resulting in hypoxia of the joint
What are some nutritional issues that can come along with JIA?
Dyslipidemia, obesity, low vitamin D levels, low levels of zinc & iron
Elevated platelets & ferritin
Name some non-pharmacologic interventions for the management of JIA
PT, OT, nutritional & psychosocial support
This nutrient is important for a patient with JIA to consume in order to promote good bone health and a healthy immune system.
Zinc