Goodpasture Syndrome: Causes (Nursing)

00:00 So as far as knowing what the causes are, here's what we know so far.

00:05 It's a combination of genetic and environmental factor.

00:09 So if certain people who have this genetic code in their body most commonly white males aged 15 to 35, they have this genetic code in their body if they're exposed to the right environmental factors, they could develop the syndrome.

00:25 Now, we say environmental factors that could be like smoking or other chemicals that your body is exposed to.

00:31 But put this unknown environmental factor together with your genetic layout and you've got a risk for goodpasture's syndrome.

00:39 Now, let's look at some examples of other environmental factors.

00:42 We already talked about smoking cocaine.

00:45 Yes, believe it or not.

00:47 That's an environmental factor.

00:48 Now this probably isn't what's on most people's mind if there were trying cocaine but it is a known risk of that.

00:54 They can have inhaled hydrocarbons, lung infections, metallic dust or chemical exposure even some medications can attack the immune system.

01:04 Like can you say that one right there? Look at that.

01:07 We're just about yeah, that's a fun one.

01:09 You need to Google that one for the correct pronunciation.

01:13 So why are we looking at these six boxes about goodpasture's syndrome? Well, we know that it is a combination of genetic factors.

01:21 Remember it's rare usually most common in males that are white 15 to 35 years of age.

01:28 So we're looking at the genetic component plus environmental factors.

01:33 Now if I was studying for an exam, I memorize these six things? No, I really wouldn't.

01:38 I would just think about taking things into my body that are hurtful.

01:43 That's it. That's as far as we would go.

01:45 Now, I have some specific things here just to kind of lay that down in your mind, but don't use your brain space to memorize these six things just think environmental factors taking things in that are harmful to my body.

01:59 Whoa, that's kind of an intense question.

02:02 Isn't it? Is it fatal? Well, it's a fair question.

02:06 Patients can die from this but usually they don't.

02:10 Here's the best way to prevent that.

02:12 They need acute treatment appropriate acute treatment in the middle of it.

02:16 We need to help reduce their risk factor exposure and we need to help them with follow-up care.

02:21 So if we can have all three of those in place your patient should be fine and should not die from this autoimmune disease.

02:29 So if you want to help a patient with this syndrome, what do we need to follow? Make sure they get acute treatment quickly, we learn about what their risk factors are for each patient.

02:40 Now, you know that this is caused by genetic factors and environmental factors.

02:45 So we'd have to do some very cautious investigating because remember this can be a sensitive topic.

02:51 Most people who smoke know that it's not great for you, but it's a really tough habit to quit.

02:57 So if you determine that one of the environmental risk factors are being exposed to smoking no judgment.

03:03 Just help the patient understand how their life could be better if they can wean themselves off this habit and hopefully stop completely so they need support and education because it is a tough habit to kick.

03:17 So you want aute treatment you want to help them reduce the risk factors and if it's an obvious one like smoking, then we can help them and give them support or it might take a look at what they're exposed to it their job, might take extra step to figure out what those environmental factors are and they'll need follow-up care Now sadly the next topic for patients that do die from this.

03:39 It's usually pulmonary Hemorrhage that's the most common cause of an early death for patients with this disease.

03:45 So majority of them do not die if they get acute treatment that's appropriate.

03:50 We reduce the risk factors and we have appropriate follow-up care for them.

03:54 If the patient does die the most common causes pulmonary hemorrhage.

03:59 And now it's not a pretty death because if you think about that what's going to happen with the patient as they go into respiratory failure because the lungs cannot function because that extra blood actually in the tissue.