GBS + ALS (mobility powerpoint) Flashcards
When diagnosing Guillain Barre Syndrome, a physical exam is to test ________. A spinal tap to look for elevated _______ in the CSF. Nerve conduction velocity is also performed. Electromyography is performed to assess nerve activity in the muscles and check for __________ __________.
reflexes
protein
muscle weakness
Guillain Barre Syndrome is an autoimmune + demyelinating disease that attacks the __________ _________ and myelin sheath.
The numbness/ tingling/ paralysis starts from the _____ and ascends up the body, and is always symmetrical.
peripheral nerves; feet
which autoimmune disease is preceded by a virus/ infection like EBV, cytomegalovirus, zika virus or by a immunization like the flu shot?
GBS - Guillain Barre Syndrome
What are 4 fatal complications associated with GBS, and why is it happening?
- respiratory failure - paralysis of respiratory muscles
- sepsis - at an increased risk of infection due to immobility
- Autonomic dysreflexia - can lead to hypertensive emergency, stroke and cardiac issues
- PE - immobility increases the risk of clots that can cause a PE
TRUE OR FALSE?
depending on the patient, you can come back and make a full recovery from paralysis with GBS but sometimes you may recover partially with some deficits.
true
there is NO CURE for GBS, but what are the 2 primary treatments for GBS?
-plasmapheresis
-IV Immune Globulin (IVIG)
what intervention to treat GBS is when the plasma is removed from the blood/ separated from the RBCs, and then the RBCs are returned and the body produces new plasma - this process is removing the antibodies that are attacking the peripheral nerves
plasmapheresis
when IVIG is given, these antibodies are given to _______ the antibodies that are causing the damage.
block
ALS (Amyotrophic Lateral Syndrome) aka Lou Gehrig’s disease is where nerves that control muscle movement slowly die and cause the muscles to ________ + _________.
shrink and weaken
does ALS have a cure?
NO
Which stage of ALS is being described?
-trouble buttoning clothes
-can’t grip
-balance issues
-frequent tripping
-dropping things
-difficulty swallowing/ speaking
-muscles twitches/ cramps
early stage
Which stage of ALS is being described?
-some muscles may become paralyzed
-walking aids/wheelchairs may be needed
-can’t drive
-breathing issues
middle stage
Which stage of ALS is being described?
-extremely limited mobility
-feeding tube is needed
-can’t communicate w/o assistance
-breathing is severely impaired
late stage
Which stage of ALS is being described?
-voluntary muscle paralysis
-most common cause of death is respiratory complications
-hospice care/ medication to ease pain and anxiety
end stage
ALS is always fatal
