Carmina, age 13 years, is admitted to the pediatric unit for treatment of JIA.

The former
drug of choice for treating JIA was aspirin.
1. What class of drug has replaced aspirin as the drug of choice?

o replaced by the NSAIDs The benefits of this drug are similar to those of aspirin, but

overdoses are less likely to cause serious illness than are overdoses of aspirin.
2. Why was aspirin replaced?
o Like most medicines, aspirin has side effects. It irritates your stomach lining and can
trigger gastrointestinal upset, ulcers and bleeding. And, because it thins your blood,
it can be dangerous for people who are at higher risk of bleeding. Based on the
research They no longer recommend aspirin especially for those who have
cardiovascular disease prevention in adults aged 70 and older or for those with a
higher risk of bleeding, like those with stomach (peptic) ulcers.
3. How is JIA diagnosed?

o It is based on symptoms of inflammation that have occurred for 6 weeks or more.

Laboratory tests, such as certain blood tests, can help rule out other conditions and
help determine the type of juvenile rheumatoid arthritis present.
4. Identify five nursing goals for treating Carmina.

 Report pain is relieved/controlled.

 Appear relaxed, able to sleep/rest and participate in activities appropriately.
 Maintain or increase strength and function of affected and/or compensatory
body part.
 Demonstrate techniques/behaviors that enable resumption/continuation of
activities.
 Maintain or increase strength and function of affected and/or compensatory
body part.