Main Article Content

Abstract

Case description: Two cases of patients with systemic lupus erythematosus with herpes zoster recurrence, who develop acute renal failure secondary to treatment with intravenous acyclovir, have been studied.
Description of the care plan: The care plan was aimed at addressing the altered needs according to the Virginia Henderson classification. These altered needs were the need for elimination, hygiene and skin integrity, pain and mobilisation. The NANDA taxonomy was applied for the nursing care process.
Evaluation of the plan: After applying the nursing care process, renal function was improved, skin integrity was restored, infections were avoided due to skin lesions caused by herpes zoster, pain was controlled, and the mobility of the left arm of one of the patients suffering from paresis was improved.
Conclusions: Close monitoring by nursing staff of patients treated with acyclovir is necessary, especially those with chronic underlying pathologies, such as systemic lupus erythematosus in relapses with herpes zoster, in order to prevent adverse events associated with the drug.

Keywords

herpes zoster acyclovir systemic lupus erythematosus adverse effect nursing care

Article Details

How to Cite
1.
Reque M, Mariana Ábalos E. Acute renal failure secondary to Acyclovir treatment for herpes zoster in patients with systemic lupus erythematosus: report of two cases. Enferm Nefrol [Internet]. 2021 [cited 2025 Apr 30];24(4):[about 8 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4453

References

  1. Vela Enríquez F, Sánchez Vázquez A, Cañabate Reche F, Vicente Pintor A, Benavides Román R. Insuficiencia renal aguda por Aciclovir, ¿un efecto secundario infraestimado? An Pediatr (Barc) [Internet] 2008; [consultado 01 May 2021].69(2):103-245. Disponible en: https://www.analesdepediatria.org/es-pdf-S1695403308720307.
  2. Guerrero C, Moyano J, Ulloa M, Pacheco S, Chinchilla P. Nefropatía por Aciclovir en un paciente con sospecha de toxicidad por opioides: caso clínico. Rev. Soc. Esp. Del Dolor [Internet] 2015 [consultado 01 May 2021].22(1):36-8. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S113480462015000100006&lng=es http://dx.doi.org/10.4321/S1134-80462015000100006.
  3. Arguedas Quesada J. El riñón y la cinética de los fármacos. Acta Médica Costarricense, Colegio de Médicos y Cirujanos. [Internet] 1997 [consultado 01 May 2021]. Disponible en: http://www.binasss.sa.cr/revistas/amc/v39n2/art5.pdf.
  4. Morales J. Drogas Nefrotóxicas. Rev. Med. Clin. Condes. [Internet] 2010 [consultado 28 Abr 2021];21(4):623-8. Disponible en http://www.clinicalascondes.com/area-academica/pdf/MED_21_4/14_Dr_Morales.pdf.
  5. Pacheco L, Tavares H, Neto MM, Dantas M, D’Oliveira Rocha L, Mota Ribeiro K. Insuficiencia renal aguda associada ao uso de Aciclovir endovenoso. Rev Assoc Med Bras. [Internet] 2005 [consultado 01 May 2021];51(5):275-8. Disponible en: http://www.scielo.br/pdf/%0D/ramb/v51n5/a19v51n5.pdf.
  6. Machado Alba J, Medina Morales D, Parrado Fajardo I. Insuficiencia renal aguda secundaria a Aciclovir. Reporte de caso y revisión de la literatura. [Internet] 2015 [consultado 28 Abr 2021];19(2):88-91. Disponible en https://www.sciencedirect.com/science/article/pii/S0123939214000472.
  7. Sánchez-Rodríguez S. Lupus eritematoso: enfermedad autoinmune sistémica y órgano específica. Rev. Biomédica. [Internet] 2004 [consultado 01 May 2021]; 15(3). Disponible en https://doi.org/10.32776/revbiomed.v15i3.388.
  8. Hernández Muñiz Y, Cruz García Y, Mirabal H. Infección por Herpes Zoster en una paciente con Lupus Eritematoso Sistémico. Rev Cub de Reumatología. [Internet] 2011. [consultado 28 Abr 2021];13:17-8. disponible en: http://www.sld.cu/sitios/reumatologia/temas.php?idv=23736.
  9. Abril Sabater MD, Iglesias Sanjuán R, Jerez Garcia, A, López Parra M J., Mañé Buixó N, Yuste Jiménez E. Aplicación de una técnica cualitativa para la elaboración de un plan de atención al paciente pluripatológico en hemodiálisis. Rev Soc Esp Enferm Nefrol. 2012;7(4):67-71.
  10. Liaño García F, Álvarez Rangel LE, Junco E, Rodríguez Palomares JR, Candela Toha A, Cigarrán Guldrís S. Guías SEN. Actuación en el Fracaso Renal Agudo. Nefrología. 2007;27(3):135-9.
  11. Fleischer R, Johnson M. Acyclovir nephrotoxicity: a case report highlighting the importance of prevention, detection, and treatment of acyclovir-induced nephropathy. Case Reports in medicine [Internet]. 2010 [consultado 28 Abr 2021]. Disponible en: https://doi.org/10.1155/2010/602783.
  12. Ferreira J, Marques H, Ferriani M, Gormezano N, Terreri M, Pereira R, et al. Herpes zoster infection in childhood-onset systemic lupus erythematosus patients: a large multicenter study. Lupus [Internet]. 2016 [consultado 03 Sep 2021];25(7):754-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26821966/.
  13. Tsappa I, Missouris C, Psarellis S. Acyclovir-induced thrombocytopaenia in a patient with SLE. BMJ Case Rep [Internet]. 2018 [consultado 03 Sep 2021]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011485/.

Similar Articles

<< < 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 > >> 

You may also start an advanced similarity search for this article.