Rasmussen College: MDC III NUR2759MCD4_work_and_class_LATEST UPDATED,100% CORRECT
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MDC III NUR2759
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MDC III NUR2759
Rasmussen College: MDC III NUR2759MCD4_work_and_class_LATEST UPDATED
Diseases of the Peripheral Nervous System
Guillain-Barre Syndrome
Guillain-Barre Syndrome (GBS) is a result of overactive immunity. It is rare and affects men more than women. The myelin sheath is attacked by circula...
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Rasmussen College: MDC III NUR2759MCD4_work_and_class_LATEST
UPDATED
Diseases of the Peripheral Nervous System
Guillain-Barre Syndrome
Guillain-Barre Syndrome (GBS) is a result of overactive immunity. It is rare and
affects men more than women. The myelin sheath is attacked by circulating
antibodies resulting from an immune response. There are various triggers from
bacterial to viral. The most common presentation is a viral-like illness one to three
weeks prior to GBS symptoms. The result of the overactive immunity results in
destruction of the myelin sheath which slows the transmission of impulse from
node-to-node. The slowing of impulses produces the symptoms of GBS. The
hallmark of the disease is ascending weakness.
Stages of GBS
Acute Stage – Onset of symptoms
Plateau – Symptoms remain for a few days to
a few weeks Recovery
May take up to 2
years Diagnostics
Lumbar puncture to evaluate cerebral spinal fluid (CSF) for increase in
,protein--results are non- conclusive
Electrophysiologic studies (EPSs)--demonstrates demyelinating
neuropathy Treatment Options
Plasmapheresis – Remove circulating
antibodies Start within several days
of onset of illness
,3 to 4 treatments – 1-to-2 days apart
Weigh the client before and after
procedure IV immunoglobulin
(IVIG)
Is as effective as Plasmapheresis
Infuse slowly observing for any side and
adverse effects Nursing Care
Frequent monitoring of the respiratory and
cardiovascular system Inability to maintain airway--
potentially fatal with ascending paralysis Aspiration
precautions
Suction equipment at the
bedside HOB elevated 45
degrees
Change position every 2 hours
Breathing exercises, cough and deep
breathing Incentive spirometer
Oxygen
Report change in HR and BP to primary
healthcare provider Interdisciplinary –
Respiratory therapy
Chest physiotherapy
Managing airway if
compromise occurs Oxygen
During the recovering period involve
, other disciplines PT/OT
Speech
therapy
Nutritionist
Myasthenia
Gravis
Myasthenia Gravis is a progressive-acquired autoimmune disease. It is a
breakdown in the relaying of signals from the nerves to the muscles. This
breakdown in communication at the synapses causes muscle weakness. The typical
area where symptoms are first noticed is visual disturbances. Other symptoms can
include drooping of the eyelids and difficulty swallowing. Death can result from a
rapid development of muscle weakness which can induce respiratory failure.
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