What should the nurse teach a patient with systemic lupus erythematosus (SLE) about plasmapheresis?

Plasmapheresis is a medical procedure that involves the removal of plasma from the blood, which contains antibodies, immune complexes, and other substances that may be contributing to the disease process. In the case of systemic lupus erythematosus (SLE), patients often have elevated levels of circulating antibody-antigen complexes that contribute to the autoimmunity and inflammation characteristic of the disease. By removing these complexes through plasmapheresis, there is a reduction in the circulating immune components that can exacerbate the symptoms and organ damage associated with SLE.

This process helps to relieve symptoms and potentially control the disease by lowering the overall burden of harmful substances in the patient's circulation. The removal of antibody-antigen complexes is particularly relevant for SLE, as these complexes can lead to tissue damage and inflammation in various organs, including kidneys and joints.

Understanding how plasmapheresis works is crucial for patients, as it clarifies the rationale behind its use in managing their condition and highlights the goal of reducing harmful autoimmune activity and preserving organ function.