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Guillain barre syndrome
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10/16/24, 2:17 Guillain barrePM syndrome
MEDICAL SURGICAL NURSING: NEURO 1.9.12 NURSE ANGIE 2018
GUILLAIN BArre SYNdrOMe
Disorder in which a person's immune system attacks the peripheral nervous system.
Assessment
Weakness of the limbs,
Prior infection leads to an immune response. The immune re e weakness, Paralysis of
peripheral nerve components, causing segmental demyelinat ular, facial, and
aryngeal muscles.
peripheral nerves. Preventing normal transmission of electric RISK FACTORS U: Urinary retention or
impulses. Sensorimotor nerve roots are affected; ‣ Recent surgery or transplant ulty with bowel and
autonomic transmission may also be affected ‣ Diabetes mellitus er function, decreased
‣ Rabies or swine influenza sounds.
vaccination
‣ Viral illness, most commonly : Sensory loss, usually
respiratory followed by legs (spreads to arms),
gastrointestinal infections ulty talking, chewing,
‣ Hodgkins. Meningococcal
vaccination wallowing, sensory loss,
‣ Zika viral infection y in the legs (spreads to
‣ Meningococcal vaccination Difficulty talking,
‣ Zika viral infection ng, and swallowing,
flushing.
: oor inspiratory effort,
ished breath sounds,
atory failure, dyspnea on
on.
o: Tachycardia,
cardia, labile blood
‣ Maintenance of skin integrity re.
‣ Possible endotracheal Treatments
intubation or tracheotomy with ‣ I.V. immune globulin
L abo r ato r y Findings: ventilator support ‣ Low-molecular-weight heparin :
‣ Cardiac monitoring Enoxaparin sodium (Lovenox) for
‣ Liver function levels: May be elevated.
‣ Creatinine phosphokinase level and erythrocyte sedimentation rate test: Results ‣ Fluid volume replacement deep vein thrombosis prophylaxis
may be elevated ‣ Urinary catheterization for ‣ Analgesics: Opioids for
‣ Cerebrospinal fluid (CSF) analysis: May show a normal white blood cell
count, an elevated protein count, and, in severe disease, increased CSF urine retention due to pain control
pressure.
‣ Electromyography: Demonstrates repeated firing of the same motor unit instead autonomic neuropathy ‣ Laxatives: Constipation or
of widespread sectional stimulation. ‣ Plasmapheresis ileus due to autonomic
‣ Nerve conduction studies: Show prolonged F-wave latency initially, conduction
block, and marked slowing of ‣ Transcutaneous electrical neuropathy
nerve conduction velocities. ‣ Tricyclic
antidepressants, tramadol
CAUSES/ hydrochloride (Ultram),
COMPLICATIONS
Education ‣ Can be a post infectious immune-
nerve stimulation (TENS)
gabapentin(Neurontin),
mediated disorder for pain
‣ Not to receive live vaccines ‣ Campylobacter jejuni and carbamazepine (Tegretol), or
‣ Can get PPD cytomegalovirus ‣ Occupational and speech
pregabalin (Lyrica) for long-term
‣ Encourage coughing and ‣ Paralysis therapy
deep breathing ‣ Permanent residual weakness management of pain; gabapentin
‣ Use TENS ‣ Arrhythmias, Urine retention ‣ Venous thromboembolism
‣ Thrombophlebitis or carbamazepine for pain
‣ Home oxygen (VTE) prophylaxis
‣ Pressure injury control during the acute phase
‣ Contractures
‣ Adequate fluid and caloric
‣ Muscle wasting, Aspiration intake ‣ Oxygen
‣ Respiratory tract infections; adult ‣ I.V.
respiratory distress syndrome ‣ Enteral feedings if intubated fluids for volume expansion
‣ Life-threatening respiratory and ‣ Aspiration precautions if hypotensive
cardiac compromise
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