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CC Test 4:Guillian Barre & Myasthenia Gravis
Terms in this set (26)
Hyperthyroidism and genetics are risk factors for which PNS disorder?
Myasthenia progresses from ?
mind to ground
Guillian Barre (GBS) progresses from ?
ground to brain
upper resp infections, GI illness, post EBV, or CMV, flu, surgery/trauma..are risk factors for which PNS disorder?
"grave muscle weakness"
which PNS disorder is usually acute with a sudden onset?
what is the priority dx for pts with GBS or MG?
Ineffective Breathing Pattern
assessment: fatigue. eye problems. poor posture. progressive muscle weakness. gets better with rest.
assessment: flaccid paralysis, decreased DTR. resp compromise. facial weakness. tachycardia. pain from cramping.
nerve impulses not transmitted to skeletal muscle at neuro junction
immune system destroys myelin sheath and affects leaping impulses to where conduction is slow or blocked in later stage.
what is nursing care for MG?
symptom relief, anticholinergics. aspiration precautions. plan your care around their med administration bc it makes them feel better.
what is the nursing care for GBS?
resp management. improve mobility. manage pain.
For GBS, most evidence points to a cell-mediated immunologic reaction as the cause. t or f?
what would you report to the MD immediately for a pt with GBS?
dyspnea and confusion (confusion is first sign of hypoxia-resp failure)
For GBS, treatment is usually supportive. t or f?
what is Tensilon testing?
used to distinguish between a cholinergic crisis and a myasthenic crisis.
what symptoms should you report to MD for a client with MG?
inability to swallow- aspiration
why would the nurse plan most of care activities when giving meds for MG?
they have the best motor function then. less tired and feel better.
what is important to remember about MG drug therapy?
drugs containing morphine or sedatives can increase muscle weakness
what is the most life threatening complications of GBS?
what is the role of plasmaphoresis in the client with GBS?
removes circulating antibodies thought to be responsible for disease
what is the antidote for Tensilon?
what is the role of antocholinesterase drugs such as Mestinon or Regonol in the tx of MG?
which PNS disorder is characterized my remissions and exacerbations?
which disorder is most associated with muscles of the facial expression, chewing, and speech?
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