RhAPPcast: Practical Application: Integrating the New ACR LN Guidelines

In this episode of RhAPPcast, host Amanda Mixon, PA-C, is joined by Monica Richey, NP, and Danielle Gatti-Palumbo, PharmD, for a practical and engaging discussion on how to apply the 2023 ACR guidelines for lupus nephritis to real-world clinical practice. Together, they walk through a complex patient case, highlighting key decision points including when to order a kidney biopsy, how to interpret proteinuria and complement levels, and how to initiate and escalate treatment. The episode covers critical guidance on balancing disease control with long-term safety—especially in patients considering pregnancy—and offers insight into medication adherence strategies, monitoring protocols for agents like voclosporin, and cardiovascular risk reduction in lupus. Whether you’re a nurse practitioner, physician assistant, or clinical pharmacist, this episode offers actionable insights and clinical pearls for delivering guideline-based, patient-centered care.

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