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.Stream the RhAPPcast wherever you get your podcasts, and download the new RhAPP ACE 2.0 App to access exclusive learning modules, expert forums, and more. For additional resources, visit RhAPP.org.