GBS Flashcards
1
Q
What are the signs and symptoms of GBS?
A
Ascending symmetric motor weakness and distal sensory impairments (flaccid paralysis followed by loss DTR)
Often begins with paresthesias in toes
Weakness spreads to legs, arms, trunk, and face
Mechanical ventilation
2
Q
What are the autonomic dysfunction symptoms accompanied with GBS?
A
Tachycardia Cardaic arrythias Fluctuating mean arterial pressure Postural hypotension Anhidrosis or Diaphoresis
3
Q
What is the timeline progression for GBS?
A
50% cases complete in two weeks
90% cases complete in four weeks
Static phase 2-4 weeks
Recovery phase months to years?
4
Q
What is the prognosis for GBS?
A
Most people recover (less than 5% die)
6 months- 80% walk, 50% minor residual neuro impairments, 15% persistent residual activity limit
2 years- 8% have not recovered
5
Q
What are poor prognosis indicators for GBS?
A
Older age rapidity of onset progression to quadriplegia Respiratory dependence Plasmaphoresis not performed Primary axonal degeneration Severity of disease at nadir Failure to show improvement at 3 weeks of plateau
6
Q
What is intervention focus for GBS?
A
Rehab doesn't accelerate nerve healing Short duration/High freq early Gradually increase intensity Avoid fatigue- exhaustion can cause muscle damage REST IMPORTANT
